Provider Demographics
NPI:1538319876
Name:MITCHELL, DANA (CRNP)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:MARIE
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:619 19TH ST S
Mailing Address - Street 2:RWUH M240
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249-1900
Mailing Address - Country:US
Mailing Address - Phone:205-934-6500
Mailing Address - Fax:205-934-6470
Practice Address - Street 1:619 19TH ST S
Practice Address - Street 2:RWUH M240
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-1900
Practice Address - Country:US
Practice Address - Phone:205-934-6500
Practice Address - Fax:205-934-6470
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-095492363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care