Individual
MS. PATRICIA ANNE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1221 E STATE ST, ROCKFORD, IL 61104-2231
(815) 972-1000
(815) 972-1092
Mailing address
5472 BASTIAN BLVD, SOUTH BELOIT, IL 61080-9226
(815) 525-0213
(815) 525-0213
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209007407
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209007407
APN LICENSE
IL
Enumeration date
12/08/2011
Last updated
12/08/2011
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