Individual
MRS. ALISIA A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN245816
OH
363L00000X
Nurse Practitioner
Primary
NP05859
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000485282
ANTHEM PIN
OH
05
—
2267925
—
OH
Enumeration date
07/19/2006
Last updated
01/25/2022
Update your record
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