SearchIndiana163W00000X

Mia Nisle

NPI 1356277040 · on the registry since 2026 · sole proprietor

Practice

Address
10865 Maple Ln Ste B
Saint John, IN 46373
Phone
(219) 365-8546
Organisation at this address
Quik Scripts Of Northwest Indiana Llc
Park Place Christian Community Of St. John, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
163W00000X
Licence states on file
IL, FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana