Nietch, Patricia M

Nietch, Patricia M is an individual health care provider with primary practice located at 215 W 4Th St , Mishawaka IN 46544-1917. 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. Nietch, Patricia M can be contacted via phone (574) 239-5277.

Contact Information

Primary practice address
215 W 4Th St Mishawaka IN 46544-1917
Phone: (574) 239-5277
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000636A Indiana

Profile Details

NPI number 1841216363
LBN Legal business name Nietch, Patricia M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jul 9th, 2007 - about 18 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 1841216363 NPPES
Indiana MEDICAID 200292400

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