Individual
LINDA Y MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
515 READ ST, EVANSVILLE, IN 47710-1739
(812) 424-9291
(812) 421-2722
Mailing address
515 READ ST, EVANSVILLE, IN 47710-1739
(812) 424-9291
(812) 421-2722
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10000180A
IN
363AS0400X
Surgical Physician Assistant
PA122
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000526795
ANTHEM BCBS
IN
01
—
P00138135
RAILROAD MEDIARE
IN
Enumeration date
06/15/2005
Last updated
11/26/2019
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