Mitchell, Stephanie S

Mitchell, Stephanie S is an individual health care provider with primary practice located at 874 Purchase St , New Bedford MA 02740-6232. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mitchell, Stephanie S can be contacted via phone (508) 992-6553.

Contact Information

Primary practice address
874 Purchase St New Bedford MA 02740-6232
Phone: (508) 992-6553
Fax: (508) 984-8420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 196436 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 196436 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN196436 Massachusetts

Profile Details

NPI number 1568439370
LBN Legal business name Mitchell, Stephanie S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Apr 20th, 2018 - about 6 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 1568439370 NPPES
Massachusetts MEDICAID 0701866
Massachusetts Other NP9695
Massachusetts Other PC213

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