Basic Information
Provider Information
NPI: 1265189807
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURVY
FirstName: EMILY
MiddleName: KRISTEN
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: PEART
OtherFirstName: EMILY
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 100 MEDICAL CENTER DR
Address2:  
City: SPRINGFIELD
State: OH
PostalCode: 455042687
CountryCode: US
TelephoneNumber: 9375231000
FaxNumber:  
Practice Location
Address1: 100 MEDICAL CENTER DR
Address2:  
City: SPRINGFIELD
State: OH
PostalCode: 455042687
CountryCode: US
TelephoneNumber: 9375231000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/03/2022
LastUpdateDate: 03/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/08/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
176B00000XAPRN.CNM.0019510OHY Other Service ProvidersMidwife 

No ID Information.


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