Individual
MELADIE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MEDICAL PARK BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3170
Mailing address
1210 PETE ALLEN CIR APT 5, WINSTON SALEM, NC 27103-6167
(336) 703-8519
Taxonomy
Speciality
Code
Description
License number
State
163WD1100X
Peritoneal Dialysis Registered Nurse
132329
NC
363LA2200X
Adult Health Nurse Practitioner
5014081
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
5014081
NC
363LP2300X
Primary Care Nurse Practitioner
5014081
NC
Other
Enumeration date
09/29/2020
Last updated
02/15/2021
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