Individual
MIDA AKITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
417 W 38TH ST, ANDERSON, IN 46013-4019
(765) 400-0380
Mailing address
8111 S SORGHAM ST, DALEVILLE, IN 47334-9675
(217) 504-1970
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28249875A
IN
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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