NPI 1164904660

Regina Mitchell, LPN

Practitioner Licensed Practical Nurse Montgomery, AL

Practice location

Address: 5853 Brewbaker Blvd, Montgomery, AL 36116-4259
Phone: (334) 316-5080

Registered specialties (2)

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 2-054230 (AL)

Other Licensed Practical Nurse providers in Alabama →

Licensed Practical Nurse

Nursing Service Providers Taxonomy 164W00000X Licence 201707302 (OR)

Registry record

NPI: 1164904660
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Aug 2018
Record last updated: 30 Aug 2018

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.