Individual
MS. MARGARET GARDINER MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1103 KALISTE SALOOM RD STE 304, LAFAYETTE, LA 70508-5784
(337) 988-5646
Mailing address
1103 KALISTE SALOOM SUITE 304, LAFAYETTE, LA 70508
(337) 988-5646
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
49882
LA
363LG0600X
Gerontology Nurse Practitioner
AP08507
LA
363LP2300X
Primary Care Nurse Practitioner
Primary
APO8507
LA
Other
Enumeration date
05/27/2010
Last updated
01/31/2020
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