Individual
RENEE L MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
612 KINGSBOROUGH SQ, STE 100, CHESAPEAKE, VA 23320-5041
(757) 547-9342
(757) 213-9342
Mailing address
PO BOX 639295 DEPT 93394, CINCINNATI, OH 45263-9295
(248) 266-4200
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024173811
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
0024173811
VA
Other
Enumeration date
08/03/2016
Last updated
10/14/2024
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