Mitchell, Patricia Anne

Mitchell, Patricia Anne is an individual health care provider with primary practice located at 1221 E State St , Rockford IL 61104-2231. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mitchell, Patricia Anne can be contacted via phone (815) 972-1000.

Contact Information

Primary practice address
1221 E State St Rockford IL 61104-2231
Phone: (815) 972-1000
Fax: (815) 972-1092
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209007407 Illinois

Profile Details

NPI number 1881962595
LBN Legal business name Mitchell, Patricia Anne
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2011
Last updated Dec 8th, 2011 - 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 1881962595 NPPES
Illinois Other 209007407 APN LICENSE

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