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NPI Code Detail

MEDICARE: KATHY MITCHELL APRN

MEDICARE: KATHY MITCHELL APRN
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
1363LF0000XFamily Nurse PractitionerAPN7275TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346441318
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY MITCHELL APRN
Provider Business Mailing Address
First Line : 1483 N MOUNT JULIET RD
Second Line : #220
City : MOUNT JULIET
State : TN
Zip : 37122-3315
Country : US
Telephone Number : 615-293-1901
Fax Number :
Provider Business Practice Location Address
First Line : 11 BURTON HILLS BLVD
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-6156
Country : US
Telephone Number : 615-293-1901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2007
Last Update Date : 11/17/2009

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