Individual
MS. DEBORAH MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
330 OLD HAMBURG RD, UNIONTOWN, AL 36786-2614
(334) 628-2651
Mailing address
PO BOX 2213, SELMA, AL 36702-2213
(334) 628-2651
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1059393
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630801019
—
AL
Enumeration date
11/03/2006
Last updated
12/09/2011
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