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Individual

CARA MARIE MIRRAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER N

Contact information

Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214
(614) 566-5449
(614) 566-6947
Mailing address
700 CHILDRENS DRIVE, COLUMBUS, OH 43205
(614) 722-6510
(614) 722-4772

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN312299
OH
363L00000X
Nurse Practitioner
Primary
NP09664
OH
363LN0005X
Critical Care Neonatal Nurse Practitioner
MIR104332774
OH

Other

Enumeration date
05/09/2008
Last updated
05/09/2008
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