Provider Demographics
NPI:1235024100
Name:MITCHELL, TANYA N (APRN-CNP)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:N
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2712 SUNNYSIDE LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2799
Mailing Address - Country:US
Mailing Address - Phone:832-496-3935
Mailing Address - Fax:
Practice Address - Street 1:2712 SUNNYSIDE LN
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2799
Practice Address - Country:US
Practice Address - Phone:832-496-3935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1182437363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health