Provider Demographics
NPI:1649593948
Name:MITCHELL, SHAY K (MSN, ACNPC, PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:SHAY
Middle Name:K
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:MSN, ACNPC, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 MOUNTAIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-4454
Mailing Address - Country:US
Mailing Address - Phone:540-254-0032
Mailing Address - Fax:
Practice Address - Street 1:1125 MOUNTAIN VIEW DR
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-4454
Practice Address - Country:US
Practice Address - Phone:540-254-0032
Practice Address - Fax:540-566-5040
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-02
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168634363LP0808X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care