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Individual

KIMBERLY A MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
18555 N 79TH AVE STE B108, GLENDALE, AZ 85308-8372
(888) 705-8558
(480) 776-0025
Mailing address
2145 E BASELINE RD # 101, TEMPE, AZ 85283-1503
(888) 705-8558
(480) 776-0025

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277227
AZ

Other

Enumeration date
06/29/2022
Last updated
12/27/2022
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