Mary Norma Mitchell

Individual provider Active NPI Licensed Vocational Nurse · Highlands, TX

NPI 1982104659 · NPPES record last updated Feb 19, 2018

Key facts

NPI
1982104659
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
159828 (TX)
Practice address
511 Aberdeen Way
Highlands, TX 77562-4505
Phone
(832) 929-5250
NPI assigned
Feb 19, 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

LicenseStateTypeSpecialty
159828TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 159828 TX Yes

Addresses

Primary practice location

511 Aberdeen Way
Highlands, TX 77562-4505

Mailing address

511 Aberdeen Way
Highlands, TX 77562-4505
Phone (832) 929-5250

Other providers in Highlands, TX

All providers in Highlands, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.