Individual
MRS. MICHELE NICOLE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5467 UPPER MOUNTAIN RD, LOCKPORT, NY 14094-1854
(716) 439-7400
(716) 439-7521
Mailing address
5467 UPPER MOUNTAIN RD, LOCKPORT, NY 14094-1854
(716) 439-7400
(716) 439-7521
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305554-1
NY
Other
Enumeration date
11/01/2010
Last updated
05/02/2019
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