Individual
MRS. KARLINE WILSON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
ARNP1967452
FL
367A00000X
Advanced Practice Midwife
Primary
RN168891
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
611377940AB
—
GA
01
—
GRP632
GROUP MEDICARE
—
Enumeration date
09/14/2005
Last updated
01/03/2014
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