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NPI Code Detail

MEDICARE: KATHYRN A MITCHELL CNM

MEDICARE: KATHYRN A MITCHELL CNM
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
1367A00000XAdvanced Practice MidwifeR139442MD

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 : 1922009166
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHYRN A MITCHELL CNM
Provider Business Mailing Address
First Line : 10710 CHARTER DR
Second Line : SUITE 200
City : COLUMBIA
State : MD
Zip : 21044-2912
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10710 CHARTER DR
Second Line : SUITE 200
City : COLUMBIA
State : MD
Zip : 21044-2912
Country : US
Telephone Number : 410-997-0580
Fax Number : 410-740-8587
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 02/10/2010

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Directions to “ KATHYRN A MITCHELL CNM” Practice Location

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