Doctor Name: | KATE VANARMAN MITCHELL |
NPI Number: | 1114102936 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 101-0022163 |
Business Practice Address: | 2240 Winrow Avenue Usa Meddac Rwbahc Fort Huachuca, AZ - 85613 |
Business Phone Number: | 5205339200 |
Business Fax Number: | |
Mailing Address: | 2240 Winrow Avenue, Usa Meddac Rwbahc FORT HUACHUCA |
State: | AZ |
Postal Code: | 85613 |
Phone Number: | 5205339200 |
Fax Number: | |
NPI Enumeration Date: | 12/31/2007 |
NPI Last Update Date: | 06/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 101-0022163 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |