Individual
MRS. DANIELLE DUCKWORTH MITCHENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP-BC, MSN
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
178903
NC
363LA2200X
Adult Health Nurse Practitioner
18957
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
178903
NC
Other
Enumeration date
11/08/2007
Last updated
06/26/2013
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