Individual provider · Type 1 NPI
Ivana Mitic, CRNA
Psychiatric/Mental Health Nurse Practitioner · Sparks, MD
NPI number
1962743815
Active
Practice location
909 Ridgebrook Rd Ste 202
Sparks, MD 21152-9476
Other practice locations
- 2324 N Zion Rd Ste 113, Salisbury, MD 21801-2576 · (410) 870-5482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 784417 (TX) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R212937 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Sparks
About NPI 1962743815
Ivana Mitic, CRNA's National Provider Identifier is 1962743815, issued on Mar 1, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Sparks, MD. The record was last updated on Apr 28, 2025.