Individual
PATRICIA JOAN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-8334
Mailing address
6302 MUSTANG RD, BALDWINSVILLE, NY 13027-9045
(315) 635-2674
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F300736
NY
Other
Enumeration date
10/15/2006
Last updated
03/17/2010
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