Individual
SHANDRA SMITH MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1020 PINE HILL RD, FAYETTEVILLE, NC 28305-4843
(910) 758-5225
Mailing address
1020 PINE HILL RD, FAYETTEVILLE, NC 28305-4843
(910) 758-5225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
83403
NC
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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