Individual
KATHLEEN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
308 E 4500 S, MURRAY, UT 84107-3957
(801) 900-3280
Mailing address
308 E 4500 S, MURRAY, UT 84107-3957
(801) 900-3280
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
7249521-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
7249521-4405
UT
Other
Enumeration date
05/11/2021
Last updated
09/12/2022
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