Individual
GRACE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
2921 SW 89TH ST, OKLAHOMA CITY, OK 73159-6332
(405) 757-7818
Mailing address
400 N EASTERN AVE, MOORE, OK 73160-5833
(405) 602-6291
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
106608
OK
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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