Female

Nora D. Mitiche NP

Nurse Practitioner in Anderson, IN(View on Map)

Full Name

Nora D Mitiche NP

NPI Number

1003175365

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/08/2012

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Licenses

State

Indiana

License Number

71004009A

Contact
Information

Purpose

Mailing
Location

Address

6626 E 75TH ST
1030 S SCATTERFIELD RD

City

Indianapolis
Anderson

State

IN
IN

Postal Code

46250-2805
46012-4235

Country

US
US

Telephone Number

N/A
(765) 644-5025

Identifiers

Identifier

P01390902
201074320

Identifier State

IN
IN

Identifier Issuer

MEDICARE RR PTAN
Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

nmitiche9130@eCommunityDirect.com

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

Y

Endpoint Location

Community Physicians of Indiana Inc1030 S Scatterfield RdAnderson, IN460124235US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/17/2020

Provider Address

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