Individual
BRIDGETTE DAWN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2770 3RD AVE STE 225, LAKE CHARLES, LA 70601-8994
(337) 494-4720
(337) 494-4721
Mailing address
PO BOX 122425, DEPT 2425, DALLAS, TX 75312-2425
(337) 494-4720
(337) 494-4721
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP05964
LA
Other
Enumeration date
12/09/2009
Last updated
07/31/2014
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