Individual
MARY MITTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NMW
Contact information
Practice address
10521 MERIDIAN AVE N, SEATTLE, WA 98133-9509
(206) 296-4990
(206) 205-5142
Mailing address
PO BOX 3835, SEATTLE, WA 98124-3835
(206) 548-3114
(206) 762-6355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00174560
WA
367A00000X
Advanced Practice Midwife
Primary
AP30007849
WA
367A00000X
Advanced Practice Midwife
NMW1635
CA
Other
Enumeration date
10/13/2006
Last updated
11/11/2016
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