Provider Demographics
NPI:1942296496
Name:MITCHELL, AIMEE D (PA)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:D
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1 PARKWAY
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-6278
Mailing Address - Country:US
Mailing Address - Phone:978-521-3250
Mailing Address - Fax:978-469-5646
Practice Address - Street 1:1 PARKWAY
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6278
Practice Address - Country:US
Practice Address - Phone:978-521-3250
Practice Address - Fax:978-469-5646
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA1376363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP48807Medicare UPIN