Individual
AMANDA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N 6TH ST, HARRISBURG, PA 17102-1703
(717) 233-4027
Mailing address
186 YODER RD, BAINBRIDGE, PA 17502-9506
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN297750
PA
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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