Mitchell, Shelly Amanda

Mitchell, Shelly Amanda is an sole proprietor health care provider with primary practice located at 3215 N Northhills Blvd , Fayetteville AR 72703-4424. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mitchell, Shelly Amanda can be contacted via phone (479) 463-4121.

Contact Information

Primary practice address
3215 N Northhills Blvd Fayetteville AR 72703-4424
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT80630 Texas

Profile Details

NPI number 1396999439
LBN Legal business name Mitchell, Shelly Amanda
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2008
Last updated Nov 14th, 2008 - 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.

Request for update

Popular Providers