Individual
NINA ELIZABETH MIRACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
255 W LANCASTER AVE, SUITE 201, MOB 1, PAOLI, PA 19301-1763
(484) 476-1000
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA057407
PA
363AM0700X
Medical Physician Assistant
Primary
MA057407
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031551180007
—
PA
Enumeration date
01/30/2013
Last updated
12/09/2024
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