Individual provider · Type 1 NPI

Reva Shane Mitchell

Licensed Practical Nurse · Columbus, OH

NPI number 1063103752 Active

Practice location

2810 Fern Ave
Columbus, OH 43211-1730

Call (614) 999-5152 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X180908 (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1063103752

Reva Shane Mitchell's National Provider Identifier is 1063103752, issued on May 15, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Columbus, OH. The record was last updated on May 15, 2023.