Individual
SOFIA ELENA VERDEJA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
231 MAIN ST, BROCKTON, MA 02301-4342
(508) 586-2660
Mailing address
3569 FAIRWAY FOREST DR, PALM HARBOR, FL 34685-1003
(781) 242-5586
(781) 205-1566
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2301037
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2301037
MA
Other
Enumeration date
07/16/2021
Last updated
01/18/2024
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