Individual
NICOLE SHONTREASE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 N 1ST ST, ANESTHESIA DEPT, SPRINGFIELD, IL 62781-0001
(217) 788-3755
(217) 788-7071
Mailing address
1117 N OLIVE AVE STE 203, WEST PALM BEACH, FL 33401-3520
(217) 788-3755
(217) 788-7071
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209010168
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9402261
FL
367500000X
Certified Registered Nurse Anesthetist
ARNP9402261
FL
367500000X
Certified Registered Nurse Anesthetist
CRNA000564
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87597
ANCC CERTIFICATION
—
Enumeration date
01/15/2013
Last updated
03/04/2026
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