Individual
LAURIE-ANN CADENE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 W 8 MILE RD, FERNDALE, MI 48220-2100
(248) 398-3200
(248) 691-4963
Mailing address
10300 W 8 MILE RD, FERNDALE, MI 48220-2100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704279753
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4704279753
—
MI
Enumeration date
06/06/2018
Last updated
05/08/2024
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