Provider Demographics
NPI:1740042795
Name:RAY, REBECCA (CNM)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:RAY
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:3936 ROSE HILL AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-1448
Mailing Address - Country:US
Mailing Address - Phone:413-230-4038
Mailing Address - Fax:
Practice Address - Street 1:7450 S MASON MONTGOMERY RD UNIT 201
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-7892
Practice Address - Country:US
Practice Address - Phone:513-770-2797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNM.0019578367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife