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NPI Code Detail

MEDICARE: DANA MITCHELL

MEDICARE: DANA MITCHELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588360374
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA MITCHELL
Provider Business Mailing Address
First Line : 4316 SHELDON AVE
Second Line :
City : TEMPLE HILLS
State : MD
Zip : 20748-1836
Country : US
Telephone Number : 202-440-8004
Fax Number :
Provider Business Practice Location Address
First Line : 3417 18TH ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-2721
Country : US
Telephone Number : 202-629-2917
Fax Number : 202-629-2797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2023
Last Update Date : 01/29/2024

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Directions to “ DANA MITCHELL ” Practice Location

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