Individual
TAMI LYNN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
110 N VALERIA ST, SSUITE 406, FRESNO, CA 93701-2166
(559) 486-8888
(559) 426-8887
Mailing address
9215 S CLAREMONT AVE, FOWLER, CA 93625-9637
(559) 834-6766
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
7204
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41140
REGISTERED NURSE LIC
CA
01
—
7204
NURSE PRACTITIONER LIC
CA
Enumeration date
01/09/2006
Last updated
07/08/2007
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