Individual
MS. GRETCHEN L MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1605 LAKES PKWY, UFJP PROVIDER ENROLLMENT, LAWRENCEVILLE, GA 30043-5858
(904) 819-4478
(904) 819-4993
Mailing address
1605 LAKES PKWY, UFJP PROVIDER ENROLLMENT, LAWRENCEVILLE, GA 30043-5858
(904) 819-4478
(904) 819-4993
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1750762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
771600088B
—
GA
Enumeration date
03/17/2006
Last updated
08/21/2008
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