Provider Demographics
NPI:1982220653
Name:MITCHELL, KAREN ELIZABETH (MSN, RN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ELIZABETH
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ELIZABETH
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDDC, MSN, RN, CMCN
Mailing Address - Street 1:COUNTY OF SAN DIEGO CALIFORNIA CHILDREN'S SERVICES (CCS
Mailing Address - Street 2:6991 BALBOA AVE, (ROOM 70)
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111
Mailing Address - Country:US
Mailing Address - Phone:858-496-8232
Mailing Address - Fax:858-496-8234
Practice Address - Street 1:COUNTY OF SAN DIEGO CALIFORNIA CHILDREN'S SERVICES (CCS
Practice Address - Street 2:6991 BALBOA AVE, (ROOM 70)
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111
Practice Address - Country:US
Practice Address - Phone:858-496-8232
Practice Address - Fax:858-496-8234
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-18
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA641004163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management