MRS. NICOLE AMANDA MITCHELL CRNP NPI 1639474059

NPI Information

NPI: 1639474059
Provider Name: MRS. NICOLE AMANDA MITCHELL, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: CAPITAL DIGESTIVE CARE LLC

PECOS Registration: Yes

Address:
12510 PROSPERITY DR STE 200
SILVER SPRING, MD
ZIP 20904
Phone: (240) 485-5210
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MRS. Nicole Amanda Mitchell, CRNP is a family nurse practitioner in Silver Spring, MD with 14 years of experience. MRS. Nicole Amanda Mitchell, CRNP NPI is 1639474059. 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:

12510 PROSPERITY DR STE 200
SILVER SPRING, MD
ZIP 20904-640
Phone: (240) 485-5210

The NPI 1639474059 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 1/14/2011 and was last updated on 1/29/2019.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R157573	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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