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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962740654 | NPPES |
Pennsylvania | MEDICAID | 1031551180007 |
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