Individual
KRISTEN ANN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
4608 PEMBERTON DR, RALEIGH, NC 27609-5441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5019884
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
5019884
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598518060
—
ND
Enumeration date
04/08/2024
Last updated
05/21/2024
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