Most Relevant Information
Provider Data
NPI Number: | 1003469610 |
Provider Name: | SAVANNAH ELIZABETH MITCHELL RN |
Entity Type: | Individual |
Taxonomy Code: | 163W00000X |
Specialty: | Registered Nurse |
License Number: | 690872-1 |
Most Important Dates
Enumeration Date: | 07/23/2019 |
Last Updated: | 07/23/2019 |
Provider Practice Location
15 4TH ST
MALONE
NY
129531340
Practice Location Phone/Fax
Phone: | 5184818163 |
Fax: |
Provider Mailing Location
PO BOX 8
NORTH BANGOR
NY
129660008
Provider Mailing Phone/Fax
Phone: | 5185695324 |
Fax: |