Provider Demographics
NPI:1831337336
Name:MITCHELL, WESLEE ELAINE (RN)
Entity type:Individual
Prefix:MS
First Name:WESLEE
Middle Name:ELAINE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3801 SW KINGS FOREST RD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66610-1596
Mailing Address - Country:US
Mailing Address - Phone:178-547-8220
Mailing Address - Fax:178-547-8220
Practice Address - Street 1:3801 SW KINGS FOREST RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66610-1596
Practice Address - Country:US
Practice Address - Phone:785-478-2205
Practice Address - Fax:785-478-2205
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-064364-091163WC1500X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health