Provider Demographics
NPI:1174850028
Name:MITCHELL, AMY BRITAIN (PA)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:BRITAIN
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1363 7TH AVE E
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-2804
Mailing Address - Country:US
Mailing Address - Phone:828-698-5757
Mailing Address - Fax:828-698-5799
Practice Address - Street 1:52 HOSPITAL DR STE 3A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NC
Practice Address - Zip Code:28722
Practice Address - Country:US
Practice Address - Phone:828-894-2473
Practice Address - Fax:828-894-2390
Is Sole Proprietor?:No
Enumeration Date:2009-11-13
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCPA2253363AM0700X, 363AM0700X
NC0010-09616363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical