person
Opal Mahalia Mitchell
Family Nurse Practitioner in Boston, Massachusetts
NPI 1619532272

Opal Mahalia Mitchell is a Family Nurse Practitioner based in Boston, MA and is specialized in Family. Opal Mahalia Mitchell practices in Boston, MA. The NPI Number for Opal Mahalia Mitchell is 1619532272 and holds a License No. RN283932 (Massachusetts).

The current practice location address for Opal Mahalia Mitchell is 725 Albany Street, Boston, MA and can be reached out via phone at 617-638-8456 and via fax at 617-638-8465.

Location: 725 Albany Street, Boston, MA, 02118-2371
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Provider Profile Details
NPI Number
1619532272
Provider Name
Opal Mahalia Mitchell
Credential
Provider Entity Type
Individual
Gender
Female
Address
725 Albany Street, Boston, MA, 02118-2371
Phone Number
617-638-8456
Fax Number
617-638-8465
Provider Enumeration Date
05/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1346218294 05 MA
institution
Provider Business Practice Location Address Details
Address
725 Albany Street
City
State
Zip
02118
Phone Number
617-638-8456
Fax Number
617-638-8465
person
Provider Business Mailing Address Details
Address
725 Albany Street
City
State
Zip
02118
Phone Number
617-638-8456
Fax Number
617-638-8465
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN283932 (Massachusetts)
Definition
Definition to come...
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