Doctor Name: | MS. THERESA MARIE MIZER |
NPI Number: | 1083793137 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 01843 |
Business Practice Address: | 217 Washington St Steubenville, OH - 439522122 |
Business Phone Number: | 7402825676 |
Business Fax Number: | 7402841640 |
Mailing Address: | 213 W Market St, CADIZ |
State: | OH |
Postal Code: | 439071109 |
Phone Number: | 7409422034 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 01843 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |