Individual
KIMBERLY J MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(262) 741-2000
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
237097-30
WI
363L00000X
Nurse Practitioner
Primary
7912
WI
363LN0005X
Critical Care Neonatal Nurse Practitioner
7912-33
WI
Other
Enumeration date
07/24/2017
Last updated
03/10/2022
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