Individual
AMANDA MARIE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
709 4TH AVE NE, WATFORD CITY, ND 58854-7628
(701) 842-3000
Mailing address
4822 47TH ST S APT 201, FARGO, ND 58104-4447
(501) 732-5003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R35212
ND
Other
Enumeration date
02/13/2020
Last updated
05/11/2020
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