Individual
MRS. NANA J MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3803 GREEN VALLEY RD, NEW ALBANY, IN 47150-9003
(812) 941-1477
(812) 948-6415
Mailing address
3803 GREEN VALLEY RD, GREEN VALLEY MEDICAL COPY SERVICE, NEW ALBANY, IN 47150-9003
(812) 941-1477
(812) 948-6415
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200522550A
—
IN
Enumeration date
05/16/2008
Last updated
05/16/2008
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