NPI 1194761536

Janet E Mitchell, PAC

Practitioner Physician Assistant Caldwell, ID

Practice location

Address: 4521 Thomas Jefferson St, Caldwell, ID 83605-5100
Phone: (208) 454-4820
Mailing address: 500 W Fort St, Boise, ID 83702-4501

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA599

Other Physician Assistant providers in Idaho →

Registry record

NPI: 1194761536
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2006
Record last updated: 18 Oct 2012

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.