Individual
TRACY LYNN MITCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 294-2621
Mailing address
PO BOX 419569, BOSTON, MA 02241-9569
(574) 523-3160
(574) 523-3221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28129890A
IN
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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