Individual
SHANNON NICHOLE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
6404 BROOKE JANE DR, CLINTON, MD 20735-4123
(202) 910-6091
Mailing address
4810 BENNETT AVE, SUITLAND, MD 20746-1478
(202) 910-6091
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A00202787
MD
253Z00000X
In Home Supportive Care Agency
A00202787
MD
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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