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NPI Code Detail

MEDICARE: MRS. RITA SUE MITCHELL RN,MSN, FNP

MEDICARE: MRS. RITA SUE MITCHELL RN,MSN, FNP
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
1363LF0000XFamily Nurse PractitionerAP116241TX
2163WA2000XAdministrator Registered Nurse601620TX

General Provider Information

NPI Number : 1790978088
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RITA SUE MITCHELL RN,MSN, FNP
Provider Business Mailing Address
First Line : 10510 HARTFORD AVE
Second Line :
City : LUBBOCK
State : TX
Zip : 79423-6012
Country : US
Telephone Number : 806-300-3209
Fax Number :
Provider Business Practice Location Address
First Line : 7008 INDIANA AVE STE A
Second Line :
City : LUBBOCK
State : TX
Zip : 79413-6138
Country : US
Telephone Number : 806-698-8088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2007
Last Update Date : 06/16/2026

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