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Individual
ANDREW DANE RUSSELL MITCHELL
Active
Individual
ANDREW DANE RUSSELL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
28266641A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4028613
KY
Other
Enumeration date
07/24/2023
Last updated
10/21/2025
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