NPI 1003614660

Wanda Marie Mitcham

Practitioner Personal Care Attendant Bellevue, NE

Practice location

Address: 1820 Hillcrest Drive, Bellevue, NE 68005
Phone: (402) 682-6599
Fax: (402) 682-6563
Mailing address: 5711 Merlin Lane, Council Bluffs, IA 51501

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1003614660
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Mar 2025
Record last updated: 7 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.