| Doctor Name: | MRS. EMILY ANNE MITSCH |
| NPI Number: | 1083949127 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CPNP |
| License Number: | COA.11078-NP |
| Business Practice Address: | 3333 W Tech Blvd Miamisburg, OH - 453420817 |
| Business Phone Number: | 9376415725 |
| Business Fax Number: | |
| Mailing Address: | 1 Childrens Plz, DAYTON |
| State: | OH |
| Postal Code: | 454041898 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/07/2009 |
| NPI Last Update Date: | 10/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | COA.11078-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |