Individual
DR. MELISSA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGPCNP-BC
Contact information
Practice address
10 ROS CIR, REPUBLIC, WA 99166-5002
(509) 775-3153
Mailing address
10 ROS CIR, REPUBLIC, WA 99166-5002
(509) 775-3153
(509) 775-8929
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60435010
WA
363L00000X
Nurse Practitioner
Primary
AP61330443
WA
363LA2200X
Adult Health Nurse Practitioner
AP61330443
WA
363LG0600X
Gerontology Nurse Practitioner
AP61330443
WA
Other
Enumeration date
02/18/2020
Last updated
07/13/2022
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