| Doctor Name: | MRS. ANDREA MITCHELL CENTER |
| NPI Number: | 1003244013 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, APRN, CPNP-AC |
| License Number: | RN196917 |
| Business Practice Address: | 1405 Clifton Road Ne Cardiac Services, Pulmonary Hypertension Program Atlanta, GA - 30322 |
| Business Phone Number: | 4047852950 |
| Business Fax Number: | 4047851869 |
| Mailing Address: | 1405 Clifton Road Ne, Cardiac Services, Pulmonary Hypertension Program ATLANTA |
| State: | GA |
| Postal Code: | 30322 |
| Phone Number: | 4047852950 |
| Fax Number: | 4047851869 |
| NPI Enumeration Date: | 10/30/2013 |
| NPI Last Update Date: | 10/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0222X |
| License Number: | RN196917 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics, Critical Care |
| Taxonomy Definition: | |