Individual provider · NPI-1
Serena Mitchell, CRNP
Nurse Practitioner, Family · West Reading, PA
NPI number1871123760
StatusActive
Last updated in NPPESMar 14, 2023
Details
- NPI
- 1871123760
- Entity type
- Individual (NPI-1)
- Name
- Serena Mitchell
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2020
- Certification date
- Mar 14, 2023
- Last updated
- Mar 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP020679 | PA | Yes |
| 364SF0001X | Clinical Nurse Specialist, Family Health | SP020679 | PA |
Practice location
301 S 7th Ave Ste 225West Reading, PA 19611-1450
Phone 484-628-9386
Mailing address
Po Box 13579Reading, PA 19612-3579
Phone 484-628-0799
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