Individual
ALLISON RYAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3815
(540) 776-2091
Mailing address
2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 37027-4692
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005313
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881957173
—
VA
Enumeration date
06/21/2012
Last updated
01/19/2022
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