MEDICARE: DR. KARLA MITCHELL ND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172V00000X	Community Health Worker
2	174H00000X	Health Educator
3	175M00000X	Lay Midwife
4	374J00000X	Doula
5	175F00000X	Naturopath
6	133NN1002X	Nutrition Education Nutritionist
7	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1356763874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARLA MITCHELL ND

Provider Business Mailing Address
First Line	:	22000 GRAND RIVER AVE # 300
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48219-3262
Country	:	US
Telephone Number	:	313-946-9644
Fax Number	:

Provider Business Practice Location Address
First Line	:	22000 GRAND RIVER AVE # 300
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48219-3262
Country	:	US
Telephone Number	:	313-946-9644
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2014
Last Update Date	:	01/19/2024

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