MEDICARE: MRS. HEATHER M PISLE C.N.M.

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	367A00000X	Advanced Practice Midwife	NM-00987	OH

General Provider Information

NPI Number	:	1356344238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEATHER M PISLE C.N.M.

Provider Business Mailing Address
First Line	:	830 W HIGH ST
Second Line	:	STE 101
City	:	LIMA
State	:	OH
Zip	:	45801-3968
Country	:	US
Telephone Number	:	419-227-0610
Fax Number	:	419-228-3273

Provider Business Practice Location Address
First Line	:	830 W HIGH ST
Second Line	:	STE 101
City	:	LIMA
State	:	OH
Zip	:	45801-3968
Country	:	US
Telephone Number	:	419-227-0610
Fax Number	:	419-228-3273

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	07/13/2007

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Directions to “ MRS. HEATHER M PISLE C.N.M.” Practice Location

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