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NPI Code Detail

MEDICARE: SYLVIA MISE FNP-C

MEDICARE: SYLVIA MISE FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner114961NE
2363LF0000XFamily Nurse Practitioner114961NE
3363LP2300XPrimary Care Nurse Practitioner114961NE

General Provider Information

NPI Number : 1164202339
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYLVIA MISE FNP-C
Provider Business Mailing Address
First Line : 562 PROSPECT PL # 3
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-2914
Country : US
Telephone Number : 781-724-7517
Fax Number :
Provider Business Practice Location Address
First Line : 312 OLSON DR STE 101
Second Line :
City : PAPILLION
State : NE
Zip : 68046-2981
Country : US
Telephone Number : 402-933-6300
Fax Number : 402-916-5078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2023
Last Update Date : 05/20/2026

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Directions to “ SYLVIA MISE FNP-C” Practice Location

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