Doctor Name: | SCOTT MITCHELL |
NPI Number: | 1023473402 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 5112 |
Business Practice Address: | 106 Robin Pl Soldotna, AK - 996698001 |
Business Phone Number: | 9072835172 |
Business Fax Number: | 9072628787 |
Mailing Address: | 106 Robin Pl, SOLDOTNA |
State: | AK |
Postal Code: | 996698001 |
Phone Number: | 9072835172 |
Fax Number: | 9072628787 |
NPI Enumeration Date: | 12/29/2015 |
NPI Last Update Date: | 12/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 5112 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |