Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVANA MITIC, CRNA
Active Sole ProprietorIVANA MITIC, CRNA is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in SPARKS, Maryland. NPI 1962743815 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · SPARKS, MD
Registration Details
- NPI Number
- 1962743815
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 1, 2013 (13.444029244939 yrs)
- Last Updated
- Apr 28, 2025
- Licenses
-
784417 (TX)R212937 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
909 RIDGEBROOK RD STE 202SPARKS, MD, 211529476Browse MD providers · Browse ZIP 21152
- Phone
- 4108705482
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in SPARKS, MD
| Name | Credential | NPI |
|---|---|---|
| MRS. ANNE WAYSON DALTON | MSN, CRNP, PMHNP-BC | 1558077891 |
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.