Provider Demographics
NPI:1053735894
Name:MEHLER, ANN MARIE (CNM)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:MEHLER
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 1:5850 LANDERBROOK DR STE 300
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4071
Mailing Address - Country:US
Mailing Address - Phone:440-720-3250
Mailing Address - Fax:330-869-0052
Practice Address - Street 1:5850 LANDERBROOK DR
Practice Address - Street 2:
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-6531
Practice Address - Country:US
Practice Address - Phone:440-720-3250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-14
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA14848NM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife