MEDICARE: SUSAN HARDING 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
1	367A00000X	Advanced Practice Midwife	NM04885	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1801891221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN HARDING CNM

Provider Business Mailing Address
First Line	:	5400 FRANTZ RD
Second Line	:	STE 250
City	:	DUBLIN
State	:	OH
Zip	:	43016-6102
Country	:	US
Telephone Number	:	614-544-6155
Fax Number	:	614-544-6370

Provider Business Practice Location Address
First Line	:	3045 OLENTANGY RIVER RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1552
Country	:	US
Telephone Number	:	614-268-8800
Fax Number	:	614-268-8249

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	05/31/2016

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