Individual
KATHERINE MITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APRN, A-GNP-C
Contact information
Practice address
3015 ENTERPRISE DR, WILMINGTON, NC 28405-2116
(910) 791-3451
Mailing address
116 WETLAND DR, WILMINGTON, NC 28412-2726
(910) 547-8937
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN228377
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
5019728
NC
Other
Enumeration date
12/04/2019
Last updated
04/22/2024
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