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MRS. ANGELIA MADGE MITCHELL CRNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1710244108

Individual Registrant:
MRS. ANGELIA MADGE MITCHELL CRNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
101 LEMLEY DR SUITE A ONEONTA, AL 35121-2100 US
Tel: 205-625-3561  Fax: 205-274-9638

Contact information for business:
PO BOX 389  CLAY, AL 35048-0389 US
Tel: 205-625-3561  Fax: 205-274-9638

Registration Information:
NPI: 1710244108
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-112680

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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