Individual provider · NPI-1

Monica Mitchell

Licensed Practical Nurse · Newport News, VA

NPI number1467723122
StatusActive
Last updated in NPPESJan 25, 2012

Details

NPI
1467723122
Entity type
Individual (NPI-1)
Name
Monica Mitchell
Sex
Female
Sole proprietor
No
Enumeration date
Jan 25, 2012
Last updated
Jan 25, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse0002077686VAYes

Practice location

739 17th St
Newport News, VA 23607-5709

Phone 757-358-4985

Mailing address

739 17th St
Newport News, VA 23607-5709

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