Provider Demographics
NPI:1902132889
Name:HANINGER, NANCY CAROL (CNM)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:CAROL
Last Name:HANINGER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6254 EDGECREEK LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-7645
Mailing Address - Country:US
Mailing Address - Phone:614-570-2865
Mailing Address - Fax:
Practice Address - Street 1:600 W SPRING ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-2374
Practice Address - Country:US
Practice Address - Phone:614-645-5500
Practice Address - Fax:614-645-5517
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNM-06090367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife