Individual
DR. NICOLE RENAE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 RUE DE LA VIE, SUITE 405, BATON ROUGE, LA 70817
(225) 928-2555
(225) 929-9685
Mailing address
500 RUE DE LA VIE, SUITE 405, BATON ROUGE, LA 70817
(225) 928-2555
(225) 929-9685
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
304659
LA
2080N0001X
Neonatal-Perinatal Medicine Physician
MD0000046053
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2436520
—
LA
Enumeration date
04/11/2007
Last updated
11/18/2024
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