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Individual
OLGA V MITCHELL
Active
Individual
OLGA V MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
346712
NY
363LF0000X
Family Nurse Practitioner
Primary
346712
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
346712
NP LICENSE
NY
Enumeration date
10/14/2020
Last updated
09/13/2023
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