Provider Demographics
NPI:1497152334
Name:MITCHELL, CHRISTINA (CPNP-PC, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:CPNP-PC, PMHNP-BC
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:SIMINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP-PC
Mailing Address - Street 1:18 DRAPER AVENUE
Mailing Address - Street 2:APARTMENT #2
Mailing Address - City:MANSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02048
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:541 HIGH STREET
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090
Practice Address - Country:US
Practice Address - Phone:781-326-7700
Practice Address - Fax:781-407-0097
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-20
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2266629363LP0808X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health