Candria Mitchell
Individual provider Active NPI Licensed Vocational Nurse · Silsbee, TX
NPI 1083115604 · NPPES record last updated Feb 28, 2018
Key facts
- NPI
- 1083115604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 333030 (TX)
- Practice address
- 1100 N 2ND St
Silsbee, TX 77656-3908 - Phone
- (409) 926-9151
- NPI assigned
- Feb 28, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333030 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 333030 | TX | Yes |
Addresses
Primary practice location
1100 N 2ND St
Silsbee, TX 77656-3908
Mailing address
1100 N 2ND St
Silsbee, TX 77656-3908
Other providers in Silsbee, TX
- Latina Martindale
- Brittany Anne McClusky
- Med Southwest, PLLC
- Lindsey Nicola Meredith
- Aisha Meryum
- Al G Mouton
- Kelli L. Mullins
- Natalie J Peveto P. C.
- Adaeze Ndu
- Edward A Neusel
All providers in Silsbee, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.