Individual
SUSANNE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7000 E BELLEVIEW AVE STE 301, GREENWOOD VILLAGE, CO 80111-1628
(303) 220-9200
Mailing address
6162 S. WILLOW DRIVE, SUITE 100, GREENWOOD VILLAGE, CO 80111-5114
(303) 220-9200
(303) 220-9208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
66947
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06351522
—
CO
05
—
PENDING
—
CO
Enumeration date
07/17/2008
Last updated
09/24/2010
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