Active NPIIndividual providerSole proprietor

Mary P Mitchell, NP-C

Nurse Practitioner, Family in Holden, Massachusetts

NPI Number1639628753
Practice location
64 Boyden RD, Holden, MA 01520-2570
Fax
978-840-1680
Last updated
January 23, 2026

Mary Poulias Mitchell is a Nurse Practitioner, Family based in Holden, MA. Mary Poulias Mitchell practices in Holden, MA and has the professional credentials of NP-C. The NPI Number for Mary Poulias Mitchell is 1639628753 and holds a License No. RN2280889 (MA). The current practice location address for Mary Poulias Mitchell is 64 Boyden RD, Holden, MA 01520-2570 and can be reached out via phone at 508-829-6765 and via fax at 978-840-1680.

Provider Profile Details

NPI Number
1639628753
Provider Name
Mary Poulias Mitchell
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
64 Boyden RD, Holden, MA 01520-2570
Phone Number
508-829-6765
Fax Number
978-840-1680
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Other Names
Mary L. Poulias, NP-C (Former Name)
Provider Enumeration Date
September 30, 2016
Last Update Date
January 23, 2026
Certification Date
January 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
64 Boyden RD
Holden, MA 01520-2570
City
Holden
Zip
01520-2570
Phone Number
508-829-6765
Fax Number
978-840-1680
Holden, MA 01520Get directions →

Provider Business Mailing Address Details

Address
5 Neponset St
Worcester, MA 01606-2714
City
Worcester
State
MA
Zip
01606-2714
Phone Number
508-368-5532

License Information

License Number (1)
RN2280889
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
RN2280889
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary P Mitchell, NP-C?

The NPI number of Mary P Mitchell, NP-C is 1639628753. It was assigned on September 30, 2016 and is currently active in the NPPES registry.

What is the specialty of Mary P Mitchell, NP-C?

Mary P Mitchell, NP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2280889.

Where does Mary P Mitchell, NP-C practice?

The practice location is 64 Boyden RD, Holden, MA 01520-2570. The office can be reached at 508-829-6765 (phone) or 978-840-1680 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639628753 directly on the NPPES registry website.

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