Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISA EMMA FORD-MIMMS
Active Sole ProprietorMARISA EMMA FORD-MIMMS is a Licensed Practical Nurse healthcare provider located in TAWLING, New York. NPI 1073955704 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · TAWLING, NY
Registration Details
- NPI Number
- 1073955704
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2013 (13.065662570667 yrs)
- Last Updated
- Jul 23, 2013
- License
-
305728-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9 RESERVOIR RDTAWLING, NY, 12564Browse NY providers · Browse ZIP 12564
- Phone
- 8458555700
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.