Individual
JOHN RICHARD MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5965 SOUTH 900 EAST, STE 240 VALLEY MENTAL HEALTH AD, SALT LAKE CITY, UT 84121-1720
(801) 263-7225
(801) 263-7279
Mailing address
8316 VALIANT DR, SALT LAKE CITY, UT 84121-6040
(801) 733-5256
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
202824-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107032301101
INTERMOUTAIN HEALTH CARE
UT
Enumeration date
01/06/2006
Last updated
03/17/2008
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