Healthcare Provider Details

I. General information

NPI: 1831237726
Provider Name (Legal Business Name): KERRY CLAIRE MITCHELL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 HIGH ST
BELLINGHAM WA
98225-5946
US

IV. Provider business mailing address

1191 SUDDEN VLY
BELLINGHAM WA
98229-4818
US

V. Phone/Fax

Practice location:
  • Phone: 360-650-2633
  • Fax: 360-650-2883
Mailing address:
  • Phone: 360-650-2633
  • Fax: 360-650-3883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30002384
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: