Provider Demographics
NPI:1225269905
Name:MITCHELL, LAURA FRANCES (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:FRANCES
Last Name:MITCHELL
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Gender:F
Credentials:APRN
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Mailing Address - Street 1:2700 STANLEY GAULT PKWY
Mailing Address - Street 2:SUITE 129
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-5132
Mailing Address - Country:US
Mailing Address - Phone:270-326-3949
Mailing Address - Fax:270-326-3954
Practice Address - Street 1:4003 KRESGE WAY
Practice Address - Street 2:SUITE 110
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4652
Practice Address - Country:US
Practice Address - Phone:502-928-8791
Practice Address - Fax:502-896-7353
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2020-12-04
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Provider Licenses
StateLicense IDTaxonomies
KY3003176364SA2200X, 364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health