Individual
MRS. STEPHANIE MARISA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
850 HARRISON AVE # YACC5, BOSTON, MA 02118-4001
(617) 414-2000
(617) 414-5798
Mailing address
720 HARRISON AVE # DOB503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
CNM00162
RI
367A00000X
Advanced Practice Midwife
Primary
RN276763
MA
Other
Enumeration date
11/29/2016
Last updated
07/31/2019
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