Provider Demographics
NPI:1639503816
Name:MITCHELL, RISE ELIZABETH (DNP, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:RISE
Middle Name:ELIZABETH
Last Name:MITCHELL
Suffix:
Gender:
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:RISE
Other - Middle Name:ELIZABETH
Other - Last Name:YARBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3925 S 147TH ST STE 111
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-5576
Mailing Address - Country:US
Mailing Address - Phone:513-203-5928
Mailing Address - Fax:531-772-7732
Practice Address - Street 1:3925 S 147TH ST STE 111
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-5576
Practice Address - Country:US
Practice Address - Phone:531-203-5928
Practice Address - Fax:531-227-7732
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-24
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE76093163W00000X
NE112794363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026860901Medicaid