Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIMZY VANESSA BOHANNON
Active Sole ProprietorMIMZY VANESSA BOHANNON is a Licensed Practical Nurse healthcare provider located in MISHAWAKA, Indiana. NPI 1912692807 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · MISHAWAKA, IN
Registration Details
- NPI Number
- 1912692807
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 7, 2023 (3.3122215592246 yrs)
- Last Updated
- Apr 7, 2023
- License
-
27067174A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1540 TRINITY PLMISHAWAKA, IN, 465455006Browse IN providers · Browse ZIP 46545
- Phone
- 5742729000
- Fax
- 5742729298
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in MISHAWAKA, IN
| Name | Credential | NPI |
|---|---|---|
| LAWRENCE C BOYNTON | CFA | 1669436689 |
| TINA LOUISE CARRERA-SEGUNDO | LPN | 1902250160 |
| ACACIA NICHOLE TEEL | LPN | 1164982096 |
| TANISHA RENEE SAUNDERS | — | 1083313647 |
| CRYSTAL MORRIS | — | 1952096190 |
| JODI LYNN MARTIN | — | 1609562727 |
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.