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NPI Code Detail

MEDICARE: TIERRA MITCHELL

MEDICARE: TIERRA MITCHELL
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1740148196
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIERRA MITCHELL
Provider Business Mailing Address
First Line : 3059 E 73RD ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44104-4166
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5500 S MARGINAL RD STE 210
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-1073
Country : US
Telephone Number : 216-273-7233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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Directions to “ TIERRA MITCHELL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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