Individual
MS. JANET E MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4521 THOMAS JEFFERSON ST, CALDWELL, ID 83605-5100
(208) 454-4820
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1157
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA599
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807419700
—
ID
Enumeration date
06/22/2006
Last updated
10/18/2012
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