Provider Demographics
NPI:1841592839
Name:MITCHELL, TASHA (BA)
Entity Type:Individual
Prefix:
First Name:TASHA
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:TASHA
Other - Middle Name:
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:423 N SEBASTIAN
Mailing Address - Street 2:
Mailing Address - City:WEST HELENA
Mailing Address - State:AR
Mailing Address - Zip Code:72390-1842
Mailing Address - Country:US
Mailing Address - Phone:870-228-1227
Mailing Address - Fax:870-228-1228
Practice Address - Street 1:423 N SEBASTIAN
Practice Address - Street 2:
Practice Address - City:WEST HELENA
Practice Address - State:AR
Practice Address - Zip Code:72390-1842
Practice Address - Country:US
Practice Address - Phone:870-228-1227
Practice Address - Fax:870-228-1228
Is Sole Proprietor?:No
Enumeration Date:2010-11-23
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist