Individual provider · Type 1 NPI
Mirna Misseha
Family Nurse Practitioner · Northbrook, IL
NPI number
1053153312
Active
Practice location
2215 Sanders Rd Ste 110N
Northbrook, IL 60062-6126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.029669 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1053153312
Mirna Misseha's National Provider Identifier is 1053153312, issued on Jun 8, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Northbrook, IL. The record was last updated on Jun 8, 2024.