Provider Demographics
NPI:1770058372
Name:MITCHELL, RACHEL LEIGH (APRN)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEIGH
Last Name:MITCHELL
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 211699
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-3699
Mailing Address - Country:US
Mailing Address - Phone:866-849-0692
Mailing Address - Fax:888-973-8821
Practice Address - Street 1:3700 PARK EAST DR STE 450
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4318
Practice Address - Country:US
Practice Address - Phone:866-849-0692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-10
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS907099363L00000X
KY3012728363L00000X
COC-APN.0103198-C-NP363L00000X
MO2024041200363L00000X
TX1179152363L00000X
HIAPRN-4986363L00000X
NC5021477363L00000X
GAGAA-NP002830363L00000X
IN71011280A363L00000X
WAAP61627877363L00000X
AL3-001996363L00000X
OR10036141363L00000X
TN37387363L00000X
FL11036116363L00000X
OH022711363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner