Individual provider · Type 1 NPI

Tracey Mitchell

Licensed Practical Nurse · Plymouth Meeting, PA

NPI number 1508033804 Active

Practice location

2250 Hickory Rd, Suite 240
Plymouth Meeting, PA 19462-1047

Mailing address

345 Constitution Ct
Glen Burnie, MD 21061-1514

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0002070443 (VA)

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 1508033804

Tracey Mitchell's National Provider Identifier is 1508033804, issued on May 15, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Plymouth Meeting, PA. The record was last updated on May 15, 2008.