Individual
BECKY H MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
530 S MAIDEN LN, JOPLIN, MO 64801-3084
(417) 782-6200
(417) 782-6210
Mailing address
4301 DONIPHAN DR, NEOSHO, MO 64850-9120
(417) 451-9450
(417) 451-8903
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
060909
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100183940A
—
OK
05
—
100255170A
—
KS
01
—
149407
ANTHEM
MO
05
—
258268606
—
MO
Enumeration date
06/28/2006
Last updated
03/06/2012
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