Individual
MRS. ANNETTE M MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,CRNP
Contact information
Practice address
111 S 11TH ST, SUITE 6210, PHILADELPHIA, PA 19107-4824
(215) 955-5322
(215) 503-5874
Mailing address
111 S 11TH ST, SUITE 6210, PHILADELPHIA, PA 19107-4824
(215) 955-5322
(215) 503-5874
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
VP003973P
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102887788
—
PA
Enumeration date
02/15/2008
Last updated
01/24/2015
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