Provider Demographics
NPI:1972723021
Name:MITCHELL, PATRICIA JEAN (RN BC)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:JEAN
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:RN BC
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:J
Other - Last Name:FRENCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8331 BARTON DRIVE
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149
Mailing Address - Country:US
Mailing Address - Phone:440-238-8482
Mailing Address - Fax:
Practice Address - Street 1:8331 BARTON DRIVE
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44149
Practice Address - Country:US
Practice Address - Phone:440-238-8482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN203380163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2476066OtherINDEPENDENT PROVIDER NON