Provider Demographics
NPI:1295708550
Name:MITCHELL, ANNE MARIE (MSN)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 HARGRAVES DR
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:RI
Mailing Address - Zip Code:02871-4004
Mailing Address - Country:US
Mailing Address - Phone:401-683-2639
Mailing Address - Fax:
Practice Address - Street 1:43 SMITH RD
Practice Address - Street 2:NAVAL HEALTH CARE NEW ENGLAND NEWPORT
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02841-1002
Practice Address - Country:US
Practice Address - Phone:860-694-2377
Practice Address - Fax:860-694-3590
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA181022363LA2200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN