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Individual

NIALL B MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1 COMMERCE ST STE 100, LINCOLN, RI 02865-1186
(401) 793-8484
Mailing address
5 STEERE LN, COVENTRY, RI 02816-7049

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN56414
RI
363LP0200X
Pediatric Nurse Practitioner
8705
CT
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN01676
RI

Other

Enumeration date
02/02/2017
Last updated
09/15/2022
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