Mitchell, Andrea D

Mitchell, Andrea D is an individual health care provider with primary practice located at 1203 E Ross Byp Suite A, Tahlequah OK 74464-4133. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mitchell, Andrea D can be contacted via phone (918) 453-1234.

Contact Information

Primary practice address
1203 E Ross Byp Suite A Tahlequah OK 74464-4133
Phone: (918) 453-1234
Fax: (918) 453-9107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1114909843
LBN Legal business name Mitchell, Andrea D
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jul 9th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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