Individual
MRS. COLLEEN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
275 ROUTE 30 N, BOMOSEEN, VT 05732-9647
(802) 468-5641
(802) 468-2923
Mailing address
275 ROUTE 30 N, BOMOSEEN, VT 05732-9647
(802) 468-5641
(802) 468-2923
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101-0041315
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015194
—
VT
Enumeration date
05/19/2008
Last updated
08/05/2015
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