Doctor Name: | MRS. CAROL RENEE' MIXON |
NPI Number: | 1013945997 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | RN077261 |
Business Practice Address: | 1 Riverside Cir Hayesville, NC - 289047946 |
Business Phone Number: | 8283898052 |
Business Fax Number: | 8283898533 |
Mailing Address: | 1 Riverside Cir, HAYESVILLE |
State: | NC |
Postal Code: | 289047946 |
Phone Number: | 8283898052 |
Fax Number: | 8283898533 |
NPI Enumeration Date: | 06/29/2006 |
NPI Last Update Date: | 11/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN077261 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |