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Individual

MRS. NICOLE AMANDA MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
12510 PROSPERITY DR STE 200, SILVER SPRING, MD 20904-1640
(240) 485-5210
Mailing address
12510 PROSPERITY DR, STE 200, SILVER SPRING, MD 20904-1640
(240) 485-5210
(240) 485-5291

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R157573
MD

Other

Enumeration date
01/14/2011
Last updated
01/29/2019
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