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NPI Code Detail

MEDICARE: MS. NYRA MITCHELL

MEDICARE: MS. NYRA 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
1373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1861359713
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NYRA MITCHELL
Provider Business Mailing Address
First Line : 390 40TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-2633
Country : US
Telephone Number : 510-867-1421
Fax Number :
Provider Business Practice Location Address
First Line : 390 40TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-2633
Country : US
Telephone Number : 510-867-1421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/09/2026

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Directions to “ MS. NYRA MITCHELL ” Practice Location

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