Individual
MICHELLE LEE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3333 BURNET AVE, ML 9016, CINCINNATI, OH 45229-3026
(513) 803-8092
(513) 803-9245
Mailing address
3333 BURNET AVE, ML 9016, CINCINNATI, OH 45229-3026
(513) 803-8092
(513) 803-9245
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
APRN.CNP.14779
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.14779
OH
363LP0200X
Pediatric Nurse Practitioner
COA.14779-NP
OH
Other
Enumeration date
10/01/2013
Last updated
01/22/2024
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