MEDICARE: GINNY A ISAQ CNM, WHNP-BC

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	363LW0102X	Women's Health Nurse Practitioner	APRN.CNP.020758	OH
2	367A00000X	Advanced Practice Midwife	APRN CNM.019327	OH

General Provider Information

NPI Number	:	1831621184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINNY A ISAQ CNM, WHNP-BC

Provider Business Mailing Address
First Line	:	5000 E MAIN ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2440
Country	:	US
Telephone Number	:	614-235-5555
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 GENDER RD
Second Line	:
City	:	CANAL WINCHESTER
State	:	OH
Zip	:	43110-9739
Country	:	US
Telephone Number	:	614-235-5555
Fax Number	:

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

Provider Enumeration Date	:	03/28/2017
Last Update Date	:	01/14/2026

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