MEDICARE: DR. BRITTANY GUTHRIE MITCHELL DNP, PMHNP-BC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	280333	NC

General Provider Information

NPI Number	:	1881255891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRITTANY GUTHRIE MITCHELL DNP, PMHNP-BC

Provider Business Mailing Address
First Line	:	603 DOLLEY MADISON RD STE 100
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-4282
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	603A DOLLEY MADISON RD STE 100
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-4205
Country	:	US
Telephone Number	:	336-632-3505
Fax Number	:

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

Provider Enumeration Date	:	06/21/2019
Last Update Date	:	05/14/2020

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