Provider Demographics
NPI:1114472529
Name:MITCHELL, ELYANA (ARNP)
Entity Type:Individual
Prefix:
First Name:ELYANA
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9111 PARK DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-3159
Mailing Address - Country:US
Mailing Address - Phone:305-756-6110
Mailing Address - Fax:305-759-1255
Practice Address - Street 1:9111 PARK DR
Practice Address - Street 2:
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-3159
Practice Address - Country:US
Practice Address - Phone:305-756-6110
Practice Address - Fax:305-759-1255
Is Sole Proprietor?:No
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9319994363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner