Individual
SUMMER MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1701 CORNWALL RD STE 201, LEBANON, PA 17042-7480
(717) 675-1750
Mailing address
1701 CORNWALL RD STE 201, LEBANON, PA 17042-7480
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP019955
PA
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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