Doctor Name: | NATALIE NICOLE MITCHELL |
NPI Number: | 1053629725 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN165717 |
Business Practice Address: | 7090 Pinecone Way Cumming, GA - 300288134 |
Business Phone Number: | 7706309489 |
Business Fax Number: | |
Mailing Address: | 7090 Pinecone Way, CUMMING |
State: | GA |
Postal Code: | 300288134 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/15/2010 |
NPI Last Update Date: | 09/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN165717 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |