Individual
MS. KRYSTAL MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4300 PATRIOT ST, MARRERO, LA 70072-4305
(504) 371-1318
(504) 371-1328
Mailing address
2725 MIDDEN DR, MARRERO, LA 70072-6611
(504) 419-4232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
234462
LA
363LF0000X
Family Nurse Practitioner
Primary
234462
LA
Other
Enumeration date
02/08/2024
Last updated
05/15/2024
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