Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN.CNP.023911 | OH |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN.CNP.023911 | OH |
NPI | 1033689591 |
---|---|
Provider Name | Ms. Michelle Lynn Mauch |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2018 |
Last Update Date | 08/02/2019 |