| Michelle M Mattice Dancer, MS, CNM, RN | |
|
11785 Morrison Mikesell Rd, New Paris, OH 45347-9214 | |
| (937) 437-0444 | |
| Not Available |
| Full Name | Michelle M Mattice Dancer |
|---|---|
| Gender | Female |
| Speciality | Midwife |
| Location | 11785 Morrison Mikesell Rd, New Paris, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215062617 | NPI | - | NPPES |
| 2703284 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN 270174 (Ohio) | Secondary |
| 163W00000X | Registered Nurse | 28136314A (Indiana) | Secondary |
| 176B00000X | Midwife | 09000105A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle M Mattice Dancer, MS, CNM, RN 11785 Morrison Mikesell Rd, New Paris, OH 45347-9214 Ph: (937) 437-0444 | Michelle M Mattice Dancer, MS, CNM, RN 11785 Morrison Mikesell Rd, New Paris, OH 45347-9214 Ph: (937) 437-0444 |