| Doctor Name: | ELLEN MARGARET MISHRA |
| NPI Number: | 1417020751 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP-C, FNP-C |
| License Number: | 3943 |
| Business Practice Address: | 999 Cheraw St Bennettsville, SC - 295122420 |
| Business Phone Number: | 8434792341 |
| Business Fax Number: | 8434794533 |
| Mailing Address: | Po Box 1090, HARTSVILLE |
| State: | SC |
| Postal Code: | 295511090 |
| Phone Number: | 8438570111 |
| Fax Number: | 8438570206 |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 10/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3943 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |