Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mijanou D Marretta-Lewis, FNP-C

Individual provider Family Nurse Practitioner · NPI 1235627142

Mijanou D Marretta-Lewis, FNP-C is a Nurse Practitioner in Centerville, Ohio. Qualified in 2017, 9 years ago. Practices with Providence Medical Group, a 29-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1989 Miamisburg Centerville Rd Ste 301
Centerville, OH 45459-3858
Phone: (937) 434-7353
Fax: (937) 438-6569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.022588 (OH)

Record details

NPI number1235627142
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedApril 26, 2018
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Providence Medical Group — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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