| NPI | 1801267232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE W WELLS Director 330-596-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2021-07-19 |