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Individual

MELANIE DENISE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
(304) 720-7305
(304) 720-1510
Mailing address
143 OAKWOOD RD, CHARLESTON, WV 25314-1855
(304) 550-1310

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
104678
WV

Other

Enumeration date
12/08/2021
Last updated
12/08/2021
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