Individual
MRS. SUSAN D MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1795 FORTSTONE LN, COLUMBUS, OH 43228-3873
(614) 458-8494
Mailing address
1795 FORTSTONE LN, COLUMBUS, OH 43228-3873
(614) 588-4946
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 353135
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0028200
OH
Other
Enumeration date
04/23/2010
Last updated
01/14/2021
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