Individual
LYNN ELLEN MITTELSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN FNP
Contact information
Practice address
1717 BROOKS AVE, BROWNWOOD, TX 76801-7363
(830) 433-1810
Mailing address
1717 BROOKS AVE, BROWNWOOD, TX 76801-7363
(830) 433-1810
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
AP136149
TX
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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