Individual
MRS. NICOLE MARIE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
714 GREEN VALLEY RD, GREENSBORO, NC 27408-7018
(336) 370-8100
Mailing address
577 PIMLICO CIR, WHITSETT, NC 27377-8713
(336) 603-4052
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136YG
BLUE CROSS/BLUE SHIELD
NC
05
—
7301723
—
NC
Enumeration date
07/24/2006
Last updated
04/17/2026
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