Nicole M Miethe, NP | |
611 W Park St, Urbana, IL 61801-2529 | |
(217) 383-3088 | |
Not Available |
Full Name | Nicole M Miethe |
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Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 611 W Park St, Urbana, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568930931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 209014942 (Illinois) | Primary |
Entity Name | Carle Health Care Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Mailing Address | Practice Location Address |
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Nicole M Miethe, NP 611 W Park St, Urbana, IL 61801-2529 Ph: () - | Nicole M Miethe, NP 611 W Park St, Urbana, IL 61801-2529 Ph: (217) 383-3088 |
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