| Miss Constance Mitchell, NURSE PRACTITIONER | |
|
2425 Stockton Blvd, Sacramento, CA 95817-2215 | |
| (707) 672-6536 | |
| (916) 453-5038 |
| Full Name | Miss Constance Mitchell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 2425 Stockton Blvd, Sacramento, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205181526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 95009958 (California) | Primary |
| 163W00000X | Registered Nurse | RN781915 (California) | Secondary |
| Entity Name | Shriners Hospitals for Children |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679915565 PECOS PAC ID: 9133031933 Enrollment ID: O20140310000850 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Constance Mitchell, NURSE PRACTITIONER 2425 Stockton Blvd, Sacramento, CA 95817-2215 Ph: (707) 672-6536 | Miss Constance Mitchell, NURSE PRACTITIONER 2425 Stockton Blvd, Sacramento, CA 95817-2215 Ph: (707) 672-6536 |
Alexia Pratt Monahan, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2279 45th St, Sacramento, CA 95817 Phone: 916-734-5959 |
Blanca E Avila, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Scripps Dr Ste 302, Sacramento, CA 95825 Phone: 714-472-7942 |
Sumon Johnson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2570 48th St, Sacramento, CA 95817 Phone: 916-734-2145 |
Elena Walterman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2315 Stockton Blvd Ste 1507, Sacramento, CA 95817 Phone: 916-734-2387 |
Sharon Kay Mccoy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-6935 |
Frances Eileen Briare, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-2000 |
Ms. Patricia Lynne Kang, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Eldercare Adult Medicine F, Sacramento, CA 95823 Phone: 916-688-6862 Fax: 916-973-6682 |