Individual
ANDREW DANE RUSSELL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
300 W DIXIE AVE, ELIZABETHTOWN, KY 42701-1704
(270) 982-0855
Mailing address
300 W DIXIE AVE STE 200, ELIZABETHTOWN, KY 42701-1765
(270) 982-0855
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
28266641A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4028613
KY
Other
Enumeration date
07/24/2023
Last updated
10/21/2025
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