| Doctor Name: | MS. MARIE LOUISE MIESEL |
| NPI Number: | 1417121203 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, APN |
| License Number: | 13055 |
| Business Practice Address: | 254 Ren Mar Dr Ste 100 Pleasant View, TN - 371463722 |
| Business Phone Number: | 6157460203 |
| Business Fax Number: | 6157460001 |
| Mailing Address: | 254 Ren Mar Dr, Ste 100 PLEASANT VIEW |
| State: | TN |
| Postal Code: | 371463722 |
| Phone Number: | 6157460203 |
| Fax Number: | 6157460001 |
| NPI Enumeration Date: | 04/14/2008 |
| NPI Last Update Date: | 06/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 13055 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |