Provider Demographics
NPI:1861202574
Name:MITCHELL-COWIE, NATIKA ANN (FNP)
Entity type:Individual
Prefix:
First Name:NATIKA
Middle Name:ANN
Last Name:MITCHELL-COWIE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 MAPES RD
Mailing Address - Street 2:
Mailing Address - City:MIO
Mailing Address - State:MI
Mailing Address - Zip Code:48647-9516
Mailing Address - Country:US
Mailing Address - Phone:989-390-9368
Mailing Address - Fax:
Practice Address - Street 1:1321 S MOUNT TOM RD
Practice Address - Street 2:
Practice Address - City:MIO
Practice Address - State:MI
Practice Address - Zip Code:48647-9518
Practice Address - Country:US
Practice Address - Phone:989-344-5820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-14
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704240701363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily