KEITHA HALLMARK MITCHELL CRNP NPI 1336888031

NPI Information

Keitha Hallmark Mitchell, CRNP is a family nurse practitioner in Madison, AL with 2 years of experience. Keitha Hallmark Mitchell, CRNP NPI is 1336888031. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 SUN TEMPLE DR
MADISON, AL
ZIP 35758-643
Phone: (256) 975-4291
Fax: (256) 325-1890

The NPI 1336888031 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/1/2022 and was last updated on 6/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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