Doctor Name: | CRYSTAL ELISABETH MITCHELL |
NPI Number: | 1841377512 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 01225 |
Business Practice Address: | 197 Pleasant St Hinton, WV - 259512540 |
Business Phone Number: | 3044662501 |
Business Fax Number: | 3044662513 |
Mailing Address: | 197 Pleasant St, HINTON |
State: | WV |
Postal Code: | 259512540 |
Phone Number: | 3044662501 |
Fax Number: | 3044662513 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 09/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 01225 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |