Individual
ROCHELLE NELL MITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-C
Contact information
Practice address
560 W MITCHELL ST, SUITE #400, PETOSKEY, MI 49770-2275
(231) 487-2490
(231) 487-6055
Mailing address
560 W MITCHELL ST, SUITE #400, PETOSKEY, MI 49770-2275
(231) 487-2490
(231) 487-6055
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704212985
MI
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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