Healthcare Provider Details

I. General information

NPI: 1720524895
Provider Name (Legal Business Name): ANGELA MITCHELL R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA SCHEETZ R.D.

II. Dates (important events)

Enumeration Date: 01/13/2017
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 UNIVERSITY BLVD
INDIANAPOLIS IN
46202-5137
US

IV. Provider business mailing address

2493 STILL CREEK DR
ZIONSVILLE IN
46077-1295
US

V. Phone/Fax

Practice location:
  • Phone: 317-274-3432
  • Fax:
Mailing address:
  • Phone: 317-409-9446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number923309
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: