Provider Demographics
NPI:1205939113
Name:MITCHELL, JOANN VICTORIA (WHCNP)
Entity type:Individual
Prefix:MS
First Name:JOANN
Middle Name:VICTORIA
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 76, BOX 988
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09720
Mailing Address - Country:PT
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:65 MDG/SGOMG
Practice Address - Street 2:UNIT 7745
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09720
Practice Address - Country:PT
Practice Address - Phone:35129-557-3239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP1382163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory