DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARTIN PHILLIP MIRISE, NURSE AIDE

Active Sole Proprietor

MR. MARTIN PHILLIP MIRISE, NURSE AIDE is a Nurse's Aide healthcare provider located in CANTON, Ohio. NPI 1265910293 is currently active in the NPPES registry. Verify at CMS.

Nurse's Aide · CANTON, OH

Registration Details

NPI Number
1265910293
Provider Type
Individual
Gender
Male
NPI Issued
Aug 1, 2018 (7.9918203735796 yrs)
Last Updated
Aug 1, 2018
Licenses
ODAPROV539434899 (OH)
400765940608 (OH)
Sole Proprietor
Yes

Practice Information

Address
1725-14TH ST. S.W.
CANTON, OH, 447065247
Browse OH providers · Browse ZIP 44706
Phone
3304548440
Primary Specialty
Nurse's Aide
376K00000X
Additional Specialty
Nurse's Aide

Other Nurse's Aide Providers in CANTON, OH

Name Credential NPI
MS. DEBRA L DOLPH 1740313972
JODI L PALMER STNA 1972777647
MRS. VANIESHA SUE CLARK 1942438213
MRS. VICTORIA MCEWEN 1194956870
MEGAN VIRGINIA MACKEY 1780932574
CYREATHEA LA'TRICE HAIRSTON 1881945137
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.