=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780191197
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ELIZABETH COMPTON MITCHELL
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/08/2018
-----------------------------------------------------
Last Update Date | 12/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 905 MAIN ST
-----------------------------------------------------
City | MILFORD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45150-5049
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-248-1210
-----------------------------------------------------
Fax | 513-248-3065
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7733 HEATHERGLEN DR
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45255-2429
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-248-1210
-----------------------------------------------------
Fax | 513-248-3065
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 364SF0001X
-----------------------------------------------------
Taxonomy Name | Family Health Clinical Nurse Specialist
-----------------------------------------------------
License Number | APRN.CNP.025705
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------