Individual
ANGELA MICHELLE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2901 W SWANN AVE, TAMPA, FL 33609-4056
(913) 754-0467
(913) 341-5797
Mailing address
PO BOX 862506, ORLANDO, FL 32886-2506
(913) 754-0467
(913) 754-0467
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1095252
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305450100
—
FL
01
—
430055965
RAILROAD MEDICARE
—
01
—
G1221
BCBS
FL
Enumeration date
12/08/2005
Last updated
01/30/2009
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