Tychelle Mixon
Registered Nurse, General Practice in Cleveland, OH. Individual provider (NPI-1).
NPI number1255014635
StatusActive
Last updated in NPPESAug 10, 2023
Details
- NPI
- 1255014635
- Entity type
- Individual (NPI-1)
- Name
- Tychelle Mixon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2023
- Certification date
- Aug 10, 2023
- Last updated
- Aug 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | UA880623 | OH | Yes |
Practice location
7600 Woodland Ave # F9Cleveland, OH 44104-3087
Phone 216-240-0498
Mailing address
3265 E 147th St Apt 11Cleveland, OH 44120-4100
Phone 216-609-7152
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