Individual
AUDREY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
5215 N WARNOCK ST, PHILADELPHIA, PA 19141-4025
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN608807
PA
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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