Individual provider · Type 1 NPI

Destiny Ruosa Mitchell, APRN-CNP

Family Nurse Practitioner · Shawnee, OK

NPI number 1114309317 Active

Practice location

781 Grand Casino Blvd
Shawnee, OK 74804-1005

Fax (405) 964-5788

Other practice locations

  • 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 · (405) 273-5236

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X79374 (OK)

Family Nurse Practitioner: Definition to come...

40 other providers at this address

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About NPI 1114309317

Destiny Ruosa Mitchell, APRN-CNP's National Provider Identifier is 1114309317, issued on Jun 24, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shawnee, OK. The record was last updated on Apr 24, 2025.