Individual
HEATHER C MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 GRAND CONCOURSE, BRONX, NY 10458-4918
(718) 708-4040
(718) 708-6040
Mailing address
85 WEST BURNSIDE AVE, BRONX, NY 10453
(718) 716-4400
(718) 228-7471
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F360491
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00590390
MEDICARE NUMBER
NY
05
—
331822
—
NY
01
—
F360491
NP
NY
Enumeration date
04/19/2007
Last updated
04/11/2025
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