Individual
LISA A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2320 E BELTLINE AVE SE, HEARTLAND CARE PARTNERS, GRAND RAPIDS, MI 49546-5906
(800) 427-1902
(419) 531-2664
Mailing address
333 N SUMMIT ST FL 7, HCR MANORCARE MEDICAL SERVICES / HEARTLAND CARE PARTNER, TOLEDO, OH 43604-2615
(800) 427-1902
(419) 531-2664
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704254454
MI
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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