Individual
MS. INDYA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4669 E 8 MILE RD, WARREN, MI 48091-2709
(313) 416-6200
Mailing address
4669 E 8 MILE RD, WARREN, MI 48091-2709
(313) 416-6200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704260345
MI
Other
Enumeration date
10/03/2012
Last updated
07/28/2014
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