Individual
EBONY Y MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
945 N 12TH ST, SUITE 101, MILWAUKEE, WI 53233-1305
(414) 219-5800
(414) 219-5712
Mailing address
945 N 12TH ST, SUITE 101, MILWAUKEE, WI 53233-1305
(414) 219-5800
(414) 219-5712
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4186
WI
363LF0000X
Family Nurse Practitioner
Primary
AP120366
TX
Other
Enumeration date
09/23/2010
Last updated
02/16/2022
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