Provider Demographics
NPI:1255894598
Name:VOIGT, MARIANNE RUTH (APRN-CNM)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:RUTH
Last Name:VOIGT
Suffix:
Gender:F
Credentials:APRN-CNM
Other - Prefix:
Other - First Name:MARIANNE
Other - Middle Name:RUTH
Other - Last Name:ETOLL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN-CNM
Mailing Address - Street 1:3016 W. WACKERLY ST.
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-6960
Mailing Address - Country:US
Mailing Address - Phone:989-631-6730
Mailing Address - Fax:989-631-4398
Practice Address - Street 1:3016 W. WACKERLY ST.
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6960
Practice Address - Country:US
Practice Address - Phone:989-631-6730
Practice Address - Fax:989-631-4398
Is Sole Proprietor?:No
Enumeration Date:2019-04-12
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNM.019395367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0343952Medicaid
OHH719700OtherMEDICARE PTAN