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NPI Code Detail

MEDICARE: NECOLE S MITCHELL RN

MEDICARE:   NECOLE S MITCHELL  RN
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
1163W00000XRegistered Nurse313807OH

General Provider Information

NPI Number : 1932629623
Entity Type Code : Individual
Provider Name (Legal Business Name) : NECOLE S MITCHELL RN
Provider Business Mailing Address
First Line : 1415 LAKELAND AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-3114
Country : US
Telephone Number : 513-325-3661
Fax Number :
Provider Business Practice Location Address
First Line : 2837 BURNET AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2401
Country : US
Telephone Number : 513-731-3338
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2017
Last Update Date : 06/22/2017

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