Individual
MRS. ANITA MITCHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
700 BENNETT ST, SEDRO WOOLLEY, WA 98284-1714
(360) 855-3674
(360) 855-3556
Mailing address
700 BENNETT ST, SEDRO WOOLLEY, WA 98284-1714
(360) 855-3674
(360) 855-3556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00136005
WA
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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