Individual
MARANDA MICHELLE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 N MAIN ST STE 304, CROWN POINT, IN 46307-1877
(574) 546-1900
(574) 546-1999
Mailing address
548 S COUNTY ROAD 500 W, CORY, IN 47846-8074
(812) 236-3531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71014229A
IN
363LF0000X
Family Nurse Practitioner
Primary
71014229A
IN
Other
Enumeration date
08/22/2023
Last updated
09/05/2023
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