Provider Demographics
NPI:1578750931
Name:MITCHELL, AVA W (CRNP)
Entity Type:Individual
Prefix:
First Name:AVA
Middle Name:W
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1463 POTOMAC PL
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35214-3317
Mailing Address - Country:US
Mailing Address - Phone:205-638-9107
Mailing Address - Fax:205-638-9107
Practice Address - Street 1:1601 4TH AVENUE SOUTH
Practice Address - Street 2:SUITE 230
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233
Practice Address - Country:US
Practice Address - Phone:205-939-9107
Practice Address - Fax:205-975-2499
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2022-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL1-033621363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics