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Individual

NORA D MITICHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1030 S SCATTERFIELD RD, ANDERSON, IN 46012-4235
(765) 644-5025
(765) 643-4534
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004009A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201074320
IN
01
P01390902
MEDICARE RR PTAN
IN
Enumeration date
05/08/2012
Last updated
11/27/2023
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