Provider Demographics
NPI:1528360583
Name:MITZEL, NATALIE M (NP-C)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:M
Last Name:MITZEL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7467 ARAMIS ST NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-1993
Mailing Address - Country:US
Mailing Address - Phone:330-830-8666
Mailing Address - Fax:330-832-3499
Practice Address - Street 1:2823 AARONWOOD AVE NE
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-2371
Practice Address - Country:US
Practice Address - Phone:330-830-8666
Practice Address - Fax:330-832-3499
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.12000-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
COA.12000-NPOtherOHI LICENSE