Healthcare Provider Details

I. General information

NPI: 1619833621
Provider Name (Legal Business Name): VICTORIA ELIZABETH MITCHELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TORI MITCHELL

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13614 CRADLE HILL RD
MIDLOTHIAN VA
23112-4020
US

IV. Provider business mailing address

13614 CRADLE HILL RD
MIDLOTHIAN VA
23112-4020
US

V. Phone/Fax

Practice location:
  • Phone: 804-337-5056
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number0024195856
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: