Individual
MRS. CORRYNN LEA MIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2130 W SYCAMORE ST STE 260, KOKOMO, IN 46901-6460
(765) 236-8457
Mailing address
2130 W SYCAMORE ST STE 260, KOKOMO, IN 46901-6460
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71016062A
IN
Other
Enumeration date
11/02/2024
Last updated
03/18/2025
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