Individual
STEPHANIE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1601 E PYTHIAN ST, SPRINGFIELD, MO 65802-2141
(417) 895-6848
Mailing address
3679 W STATE ST, SPRINGFIELD, MO 65802-5782
(352) 734-1714
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5236057
FL
Other
Enumeration date
09/05/2024
Last updated
09/10/2024
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