Provider Demographics
NPI:1730584350
Name:MITCHELL, VERA L (APRN, CRNA)
Entity type:Individual
Prefix:
First Name:VERA
Middle Name:L
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:APRN, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7806 E JEFFERSON PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1513
Mailing Address - Country:US
Mailing Address - Phone:303-359-7207
Mailing Address - Fax:
Practice Address - Street 1:7806 E JEFFERSON PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1513
Practice Address - Country:US
Practice Address - Phone:303-359-7207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-24
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0069577163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse