Individual
MR. MARK CARTER MITCHELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1407
(801) 885-4502
Mailing address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1407
(801) 885-4502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11580436-4405
UT
363LP2300X
Primary Care Nurse Practitioner
11580436-4405
UT
Other
Enumeration date
04/17/2023
Last updated
03/10/2025
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