Individual
HEATHER MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 KINGSLEY LN STE 309, NORFOLK, VA 23505
(757) 889-2006
(757) 889-6559
Mailing address
860 OMNI BLVD, STE 303, NEWPORT NEWS, VA 23606-4434
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024172976
VA
Other
Enumeration date
10/01/2015
Last updated
07/10/2018
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