Individual
MR. MICHAEL LANCE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-C
Contact information
Practice address
520 S MUSTANG RD, YUKON, OK 73099-6737
(580) 706-0549
Mailing address
520 S MUSTANG RD, YUKON, OK 73099-6737
(405) 936-5910
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0127582
OK
363LF0000X
Family Nurse Practitioner
Primary
208784
OK
Other
Enumeration date
07/08/2022
Last updated
08/22/2022
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