CARSON WILES MITCHELL NPI 1962364984

NPI Information

  • NPI: 1962364984
  • Provider Name: CARSON WILES MITCHELL
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1450 6TH ST SE
    WINTER HAVEN, FL
    ZIP 33880
  • Phone: (863) 293-2147

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NPI Details

Carson Wiles Mitchell is a family nurse practitioner in Winter Haven, FL. Carson Wiles Mitchell NPI is 1962364984. 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:

1450 6TH ST SE
WINTER HAVEN, FL
ZIP 33880-505
Phone: (863) 293-2147

The NPI 1962364984 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 11/27/2025 and was last updated on 11/27/2025.

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
1363LF0000XNurse PractitionerFamilyAPRN11042691FLORIDAYes

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: 11/21/2025

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