Provider Demographics
NPI:1649593948
Name:MITCHELL, SHAY K (MSN, ACNPC, APRN)
Entity Type:Individual
Prefix:MR
First Name:SHAY
Middle Name:K
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:MSN, ACNPC, APRN
Other - Prefix:
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Mailing Address - Street 1:1866 E MARKET STREET
Mailing Address - Street 2:PMB 348
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801
Mailing Address - Country:US
Mailing Address - Phone:540-254-0032
Mailing Address - Fax:540-566-5040
Practice Address - Street 1:1125 MOUNTAIN VIEW DR
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-4454
Practice Address - Country:US
Practice Address - Phone:540-254-0032
Practice Address - Fax:540-566-5040
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-02
Last Update Date:2020-06-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024168634363LA2100X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care