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Individual

PAULA ANNE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4212 W CONGRESS ST STE 2300A, LAFAYETTE, LA 70506-6778
(372) 377-8013
(337) 235-1865
Mailing address
4212 W CONGRESS ST STE 2300A, LAFAYETTE, LA 70506-6778
(372) 377-8013
(337) 235-1865

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN112660-AP06614
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2183401
LA
Enumeration date
10/04/2011
Last updated
07/30/2020
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