Provider Demographics
NPI:1326236340
Name:MITCHELL, SHERI J (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:J
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:34490 BOB HOPE DR.
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-0000
Mailing Address - Country:US
Mailing Address - Phone:760-568-3613
Mailing Address - Fax:760-340-5189
Practice Address - Street 1:34490 BOB HOPE DR.
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-0000
Practice Address - Country:US
Practice Address - Phone:760-568-3613
Practice Address - Fax:760-340-5189
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA17773363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA17773OtherBOARD OF REG NURSING