Individual
CANDACE GAIL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 KIMEL PARK DR # 140, WINSTON SALEM, NC 27103-6946
(336) 277-2225
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
300665
NC
363L00000X
Nurse Practitioner
Primary
5017207
NC
Other
Enumeration date
10/28/2022
Last updated
01/03/2023
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