Individual
MRS. ANDREA ANN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12370 US HIGHWAY 30, SIDNEY, NE 69162-3044
(308) 279-0635
Mailing address
PO BOX 1033, BRIDGEPORT, NE 69336-1033
(308) 279-0635
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23303
NE
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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