Mitchell, Maxine
Mitchell, Maxine is an individual health care provider with primary practice located at 340 Eisenhower Dr 1500, Savannah GA 31406-1600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mitchell, Maxine can be contacted via phone (912) 354-9447.Contact Information
Primary practice address
340 Eisenhower Dr 1500
Savannah GA 31406-1600
Phone: (912) 354-9447
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | 041-235446 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN246516 | Georgia |
Profile Details
| NPI number | 1104970441 |
|---|---|
| LBN Legal business name | Mitchell, Maxine |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | May 4th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104970441 | NPPES |
| Illinois | Other | 041-235446 | STATE LICENSE |
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