| NPI | 1407680093 |
|---|---|
| Doing Business As | STACEY L MITCHELL |
| Entity Type | Organization |
| Authorized Contact | STACEY L MITCHELL Owner/Ap RN 917-460-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |