MEDICARE: MRS. NADYA CLOAD CPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife

General Provider Information

NPI Number	:	1114349172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NADYA CLOAD CPM

Provider Business Mailing Address
First Line	:	1321 CHASE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45223-1827
Country	:	US
Telephone Number	:	513-602-4323
Fax Number	:

Provider Business Practice Location Address
First Line	:	1321 CHASE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45223-1827
Country	:	US
Telephone Number	:	513-602-4323
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2014
Last Update Date	:	01/10/2014

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