Provider Demographics
NPI:1497812481
Name:MITCHELL, ANNE (ND)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-4114
Mailing Address - Country:US
Mailing Address - Phone:203-265-3546
Mailing Address - Fax:203-265-3592
Practice Address - Street 1:116 CENTER ST
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-4114
Practice Address - Country:US
Practice Address - Phone:203-265-3546
Practice Address - Fax:203-265-3592
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000076175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath