Individual provider · Type 1 NPI

Matthew Parent Mitchell, PA

Surgical Physician Assistant · Auburn, ME

NPI number 1295324226 Active

Practice location

15 Gracelawn Rd Ste 101
Auburn, ME 04210-6347

Fax (207) 333-4715

Mailing address

C/o St Marys Health System - Provider Enrollment, PO Box 7291
Lewiston, ME 04243-7291

Other practice locations

  • 11 Hough St Apt 2, Lebanon, NH 03766-1471 · (978) 257-2095
  • 117 Auburn St, Portland, ME 04103-6003 · (207) 797-4791

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA2190 (ME)
Medical Physician Assistant 363AM0700XPA2190 (ME)
Surgical Physician Assistant Primary 363AS0400XPA2190 (ME)

Surgical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1295324226

Matthew Parent Mitchell, PA's National Provider Identifier is 1295324226, issued on Jan 14, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Auburn, ME. The record was last updated on Jun 3, 2022.