Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NITIE I SROA, D.P.M.
ActiveNITIE I SROA, D.P.M. is a Podiatrist healthcare provider located in HICKSVILLE, Ohio. NPI 1215236864 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · HICKSVILLE, OH
Registration Details
- NPI Number
- 1215236864
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2011 (15.375723068501 yrs)
- Last Updated
- May 6, 2021
- Licenses
-
07001153A (IN)07001153B (IN)POD001257 (GA)POD001257 (GA)PO3700 (FL)
Practice Information
- Address
-
208 COLUMBUS ST STE 200HICKSVILLE, OH, 435261250Browse OH providers · Browse ZIP 43526
- Phone
- 4197991180
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Podiatrist
- Additional Specialty
- Podiatrist
- Additional Specialty
- Foot Surgery Podiatrist
- Additional Specialty
- Podiatrist
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.