Mary Anne Mittnacht

NPI 1639374358 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1639374358
Gender Female
Enumeration Date 06/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2250 HICKORY RD
STE 240
PLYMOUTH MEETING PA, 19462-1047, US
Phone (610) 834-1122
Fax
Business Location
25 WEXFORD CT
MORGANTOWN PA, 19543-8805, US
Phone (610) 750-4228
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Pennsylvania
License Number PN093830L
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According to our database, Mary Anne Mittnacht NPI is 1639374358, taxonomy code is 164W00000X and license number is PN093830L, license state is located at Pennsylvania. Mary Anne Mittnacht physically located at 2250 Hickory Rd, Plymouth Meeting PA, 19462-1047. NPI Number Mary Anne Mittnacht has the Individual type.

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1639374358 NPI number is provided on an as is basis without warranty of any kind. 1639374358 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Anne Mittnacht are for informational purposes only.