Individual
MIRANDA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC, PMHNP-BC
Contact information
Practice address
213 COURT ST, MIDDLETOWN, CT 06457-3346
(203) 244-7253
Mailing address
213 COURT ST, MIDDLETOWN, CT 06457-3346
(203) 244-7253
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
8707
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN8707
CT
Other
Enumeration date
02/27/2017
Last updated
11/15/2024
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