Individual
TAMMY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3444 LOST CANYON PL, COCOA, FL 32926-7414
(321) 720-0851
Mailing address
3444 LOST CANYON PL, COCOA, FL 32926-7414
(321) 720-0851
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11006048
FL
Other
Enumeration date
02/05/2020
Last updated
03/30/2021
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