Individual
STEPHANIE S MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
874 PURCHASE ST, NEW BEDFORD, MA 02740-6232
(508) 992-6553
(508) 984-8420
Mailing address
874 PURCHASE ST, NEW BEDFORD, MA 02740-6232
(508) 992-6553
(508) 984-8420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
196436
MA
363L00000X
Nurse Practitioner
Primary
RN196436
MA
363LP0200X
Pediatric Nurse Practitioner
196436
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701866
—
MA
01
—
NP9695
BLUE CROSS
MA
01
—
PC213
HARVARD PILGRIM
MA
Enumeration date
03/01/2006
Last updated
04/20/2018
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