NPI 1104785831

Amillia Mitchell

Practitioner Case Manager/Care Coordinator Pocatello, ID

Practice location

Address: 151 N 3rd Ave STE 330, Pocatello, ID 83201-6369
Phone: (208) 240-3955

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1104785831
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jan 2026
Record last updated: 26 Jan 2026

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.