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Individual

ELLEN MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BC, FNP,ANP,MSN

Contact information

Practice address
2500 E MAIN ST, ALICE, TX 78332-4169
(361) 661-8000
Mailing address
PO BOX 849881, DALLAS, TX 75284-0001
(866) 916-5259
(231) 922-4030

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
250171
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113203704
TX
Enumeration date
07/17/2006
Last updated
02/19/2008
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