Individual
LISA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12800 BOTHELL EVERETT HWY STE 220, EVERETT, WA 98208-6642
(425) 316-5005
Mailing address
12800 BOTHELL EVERETT HWY STE 220, EVERETT, WA 98208-6642
(425) 316-5005
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60964715
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124270715
GROUP NUMBER
—
Enumeration date
05/28/2019
Last updated
06/18/2021
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