MEDICARE: EDITH MITCHELL CNA

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	376K00000X	Nurse's Aide	CNA435577	FL

General Provider Information

NPI Number	:	1952232498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDITH MITCHELL CNA

Provider Business Mailing Address
First Line	:	573 NARRAGANSETT ST NE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-1330
Country	:	US
Telephone Number	:	321-848-7084
Fax Number	:

Provider Business Practice Location Address
First Line	:	573 NARRAGANSETT ST NE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-1330
Country	:	US
Telephone Number	:	321-848-7084
Fax Number	:

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

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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Directions to “ EDITH MITCHELL CNA” Practice Location

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