Provider Demographics
NPI:1710178504
Name:MITCHELL, MARGARET (LPN LICENSURE)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LPN LICENSURE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22140 EUCLID AVE
Mailing Address - Street 2:#506
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1615
Mailing Address - Country:US
Mailing Address - Phone:216-692-0619
Mailing Address - Fax:
Practice Address - Street 1:22140 EUCLID AVE
Practice Address - Street 2:#506
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44117-1615
Practice Address - Country:US
Practice Address - Phone:216-692-0619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH120925164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse