Healthcare Provider Details

I. General information

NPI: 1730098690
Provider Name (Legal Business Name): MICHALA NOELLE MOHR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 WEST ST
MONROEVILLE OH
44847-9797
US

IV. Provider business mailing address

24 S WOODWIND DR
ATTICA OH
44807-9328
US

V. Phone/Fax

Practice location:
  • Phone: 419-465-2610
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN350140
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: