Individual provider · Type 1 NPI

Sofia Mitchell, CPNP

Pediatric Nurse Practitioner · Oak Lawn, IL

NPI number 1508221003 Active

Practice location

4440 W 95th St
Oak Lawn, IL 60453-2600

Mailing address

4440 W 95th St Ste 3192H
Oak Lawn, IL 60453-2600

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X209.013550 (IL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1508221003

Sofia Mitchell, CPNP's National Provider Identifier is 1508221003, issued on Dec 28, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Oak Lawn, IL. The record was last updated on Apr 19, 2022.