| Doctor Name: | PAUL E MITCHELL |
| NPI Number: | 1073616090 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CNP |
| License Number: | F330472 |
| Business Practice Address: | 1930 Pre Emption Rd Penn Yan, NY - 145279641 |
| Business Phone Number: | 3155360086 |
| Business Fax Number: | 3155364107 |
| Mailing Address: | 1421 Shay Rd, NAPLES |
| State: | NY |
| Postal Code: | 145129607 |
| Phone Number: | 5855543004 |
| Fax Number: | 3155364107 |
| NPI Enumeration Date: | 09/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F330472 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |