Doctor Name: | ASHLEY MITCHELL |
NPI Number: | 1356707509 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | AP8374 |
Business Practice Address: | 3624 W Anthem Way Suite C-116 Anthem, AZ - 850860440 |
Business Phone Number: | 6234345748 |
Business Fax Number: | 6235518822 |
Mailing Address: | 39506 N Daisy Mountain Dr, #122-147 PHOENIX |
State: | AZ |
Postal Code: | 850861663 |
Phone Number: | 6236875251 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2016 |
NPI Last Update Date: | 01/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP8374 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |