Individual
SAMANTHA LYNN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5011
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23.006656
CT
390200000X
Student in an Organized Health Care Education/Training Program
23.006656
CT
Other
Enumeration date
09/27/2024
Last updated
10/23/2024
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