SHASTA MITCHELL-HOLSTON

PORTSMOUTH, VA
NPI1881004901
Other NameSHASTA MITCHELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024176097)
Enumeration Date2014-04-28
Last Update Date2018-09-05
Business Address
SHASTA MITCHELL-HOLSTON FNP-C
3636 HIGH ST
PORTSMOUTH, VA 23707
Phone number: 757-398-2285
Mailing Address
SHASTA MITCHELL-HOLSTON FNP-C
36550 CHESTER RD 5404
AVON, OH 44011-1091
Phone number: 216-526-2214