Individual
MARTINA RENEE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
108 AVALON AVE, MUSCLE SHOALS, AL 35661-2800
(256) 389-9300
(256) 389-3903
Mailing address
PO BOX 10005, FLORENCE, AL 35631-2005
(256) 389-9300
(256) 389-3903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-079431
AL
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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