Mitiche, Nora D

Mitiche, Nora D is an individual health care provider with primary practice located at 1030 S Scatterfield Rd , Anderson IN 46012-4235. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mitiche, Nora D can be contacted via phone (765) 644-5025.

Contact Information

Primary practice address
1030 S Scatterfield Rd Anderson IN 46012-4235
Phone: (765) 644-5025
Fax: (765) 643-4534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71004009A Indiana

Profile Details

NPI number 1003175365
LBN Legal business name Mitiche, Nora D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2012
Last updated Nov 27th, 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 1003175365 NPPES
Indiana Other P01390902 MEDICARE RR PTAN
Indiana MEDICAID 201074320 MEDICARE RR PTAN

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