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Individual

CAROLINE B MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-140437
AL
363L00000X
Nurse Practitioner
Primary
20961
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20961
APRN LICENSE
SC
Enumeration date
07/10/2017
Last updated
10/17/2024
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