Individual
MISTY MARIE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
30 E APPLE ST, STE. NW 3300, DAYTON, OH 45409-2939
(937) 991-3188
(937) 208-8388
Mailing address
30 E APPLE ST, STE. NW 3300, DAYTON, OH 45409-2939
(937) 991-3188
(937) 208-8388
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN.349569
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192004
—
OH
Enumeration date
08/04/2016
Last updated
03/08/2017
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