Individual
ELIZABETH A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
623 MAIN ST, OLEAN, NY 14760-1515
(716) 372-4212
(716) 373-9167
Mailing address
PO BOX 583, OLEAN, NY 14760-0583
(716) 372-4212
(716) 373-9167
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302552-1
NY
363LF0000X
Family Nurse Practitioner
F333499-1
NY
363LF0000X
Family Nurse Practitioner
SP007790
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02353684
—
NY
Enumeration date
10/18/2006
Last updated
09/11/2025
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