Mitchell, Laurae N.

Mitchell, Laurae N. is an individual health care provider with primary practice located at 1536 E Primrose St , Springfield MO 65804-7928. 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, Laurae N. can be contacted via phone (417) 882-1818.

Contact Information

Primary practice address
1536 E Primrose St Springfield MO 65804-7928
Phone: (417) 882-1818
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1063759223
LBN Legal business name Mitchell, Laurae N.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2013
Last updated Jul 21st, 2022 - about 4 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 1063759223 NPPES
Missouri MEDICAID 1063759223

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