Individual
LAURA ANN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-2725
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
337542
NY
363LF0000X
Family Nurse Practitioner
Primary
SP012311
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03489145
—
NY
Enumeration date
08/31/2012
Last updated
03/09/2021
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