Individual
JOEY ROCHELLE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 W LAKE ST, WACONIA, MN 55387-1014
(456) 565-1603
Mailing address
9325 500TH ST, RUSH CITY, MN 55069-2107
(612) 867-0027
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11086
MN
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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