Mitchell, Diane Louise

Mitchell, Diane Louise is an individual health care provider with primary practice located at 4650 Harvard Cir , Fairbanks AK 99709. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mitchell, Diane Louise can be contacted via phone (907) 442-7237.

Contact Information

Primary practice address
4650 Harvard Cir Fairbanks AK 99709
Phone: (907) 442-7237
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1365 Alaska

Profile Details

NPI number 1629407325
LBN Legal business name Mitchell, Diane Louise
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2013
Last updated Nov 4th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629407325 NPPES
Alaska Other F0313066 NP CERTIFICATION
Alaska Other 1365 NP CERTIFICATION

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