Provider Demographics
NPI:1225859424
Name:MITCHEL, ELLA MEGHAN (PNP-PC)
Entity type:Individual
Prefix:
First Name:ELLA
Middle Name:MEGHAN
Last Name:MITCHEL
Suffix:
Gender:
Credentials:PNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 WESTBARD CIR STE 3
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20816-1463
Mailing Address - Country:US
Mailing Address - Phone:301-654-6303
Mailing Address - Fax:301-654-6304
Practice Address - Street 1:5301 WESTBARD CIR STE 3
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20816-1463
Practice Address - Country:US
Practice Address - Phone:301-654-6303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR263318363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics