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NPI Code Detail

MEDICARE: MRS. BETHANY LEIGH WAYT RNC, CNM

MEDICARE:  MRS. BETHANY LEIGH WAYT  RNC, CNM
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
1367A00000XAdvanced Practice MidwifeCOA 11370-NMOH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2NM041111OTHEROHMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144534322
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETHANY LEIGH WAYT RNC, CNM
Provider Business Mailing Address
First Line : 1108 VESTER AVE
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45503-1302
Country : US
Telephone Number : 937-399-7100
Fax Number :
Provider Business Practice Location Address
First Line : 1108 VESTER AVE
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45503-1302
Country : US
Telephone Number : 937-399-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2010
Last Update Date : 08/12/2024

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Directions to “ MRS. BETHANY LEIGH WAYT RNC, CNM” Practice Location

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