Individual
HELEN L MITCHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-5611
(864) 455-7157
Mailing address
1 INDEPENDENCE PT, STE 212, GREENVILLE, SC 29615-4545
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A1220
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0273
—
SC
01
—
SC18506067
MEDICARE PIN
SC
Enumeration date
07/13/2006
Last updated
08/15/2023
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