Mirachi, Nina Elizabeth

Mirachi, Nina Elizabeth is an individual health care provider with primary practice located at 300 Evergreen Dr Ste 140 , Glen Mills PA 19342-1080. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mirachi, Nina Elizabeth can be contacted via phone (610) 579-3579.

Contact Information

Primary practice address
300 Evergreen Dr Ste 140 Glen Mills PA 19342-1080
Phone: (610) 579-3579
Fax: (610) 579-3580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA057407 Pennsylvania

Profile Details

NPI number 1962740654
LBN Legal business name Mirachi, Nina Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2013
Last updated Oct 2nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962740654 NPPES
Pennsylvania MEDICAID 1031551180007

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