Provider Demographics
NPI:1154810307
Name:MITCHELL, PIERRE LADON
Entity type:Individual
Prefix:
First Name:PIERRE
Middle Name:LADON
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 DELAWARE AVE SW APT 825
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-3939
Mailing Address - Country:US
Mailing Address - Phone:318-341-1216
Mailing Address - Fax:
Practice Address - Street 1:1200 DELAWARE AVE SW APT 825
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-3939
Practice Address - Country:US
Practice Address - Phone:318-341-1216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-03
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant