Individual
MS. LYNN D MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
629 W MAIN ST, RIVERHEAD, NY 11901-2842
(631) 727-8217
(631) 727-8101
Mailing address
629 W MAIN ST, RIVERHEAD, NY 11901-2842
(631) 727-8217
(631) 727-8101
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400846
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02585573
—
NY
Enumeration date
12/21/2005
Last updated
12/16/2024
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