Individual
BRENT E MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8200 E BELLEVIEW AVE, GREENWOOD VILLAGE, CO 80111-2803
(303) 290-0600
(303) 290-6359
Mailing address
1819 DENVER WEST DRIVE, SUITE 200, GOLDEN, CO 80401-3118
(303) 422-9438
(303) 422-9474
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
695165
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
R41329
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17372224
—
CO
Enumeration date
10/20/2005
Last updated
07/06/2009
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