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Individual

MS. MICHELLE ANN MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CNM, MS, MA, LPC

Contact information

Practice address
4 ETHEL RD, SUITE 402A, EDISON, NJ 08817-2841
(732) 452-9099
(732) 287-3301
Mailing address
4 ETHEL RD, SUITE 402A, EDISON, NJ 08817-2841
(732) 452-9099
(732) 287-3301

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25ME00052900
NJ
367A00000X
Advanced Practice Midwife
25ME00052901
NJ

Other

Enumeration date
08/06/2013
Last updated
08/06/2013
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