Individual
MARY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215-1161
(502) 316-6000
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 367-3360
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
28211094C
IN
363LF0000X
Family Nurse Practitioner
Primary
3018560
KY
Other
Enumeration date
10/07/2022
Last updated
10/27/2022
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