NPI | 1801368618 |
---|---|
Professional Name | T. MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-072535) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AL 1-072535) |
261QR1300X Clinic/Center, Rural Health (Licence: AL 1-072535) | |
Enumeration Date | 2018-12-19 |
Last Update Date | 2020-03-04 |