IndividualActive
Carol Mirus
NPI 1194889790 · Psychiatric/Mental Health Registered Nurse · Panama City, FL
Provider details
- NPI number
- 1194889790
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT1140 (FL)
Specialties & taxonomies
Nursing Service Providers
Behavioral Health & Social Service Providers
Practice location
1103 Fortune Ave
Panama City, FL 32401-1831
Phone: (850) 769-6188
Fax: (850) 769-1261
Approximate (ZIP-level) locationGet directions
Mailing address
1103 Fortune Ave
Panama City, FL 32401-1831
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.