| Mirandine A Fitchette Fpmhnp Pllc | |
|
122 N Cortez St Ste 203 Prescott AZ 86301-3023 | |
| (928) 277-4614 | |
| Not Available |
| Full Name | Mirandine A Fitchette Fpmhnp Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 122 N Cortez St Ste 203, Prescott, Arizona |
| Authorized Official Name and Position | Mirandine Fitchette (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 9282774614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirandine A Fitchette Fpmhnp Pllc 122 N Cortez St Ste 203 Prescott AZ 86301-3023 Ph: (928) 277-4614 | Mirandine A Fitchette Fpmhnp Pllc 122 N Cortez St Ste 203 Prescott AZ 86301-3023 Ph: (928) 277-4614 |
| NPI Number | 1699531152 |
|---|---|
| Provider Enumeration Date | 02/22/2024 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699531152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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