Provider Demographics
NPI:1518573567
Name:HUNSICKER, MIRIAM ELIZABETH
Entity Type:Individual
Prefix:MRS
First Name:MIRIAM
Middle Name:ELIZABETH
Last Name:HUNSICKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5215 CARIFA CT
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-9589
Mailing Address - Country:US
Mailing Address - Phone:260-494-4005
Mailing Address - Fax:
Practice Address - Street 1:5215 CARIFA CT
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-9589
Practice Address - Country:US
Practice Address - Phone:260-494-4005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker