Provider Demographics
NPI:1861095606
Name:MITCHELL, DAYNA MICHELE (RN)
Entity type:Individual
Prefix:
First Name:DAYNA
Middle Name:MICHELE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1404 GRAVEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:VA
Mailing Address - Zip Code:24179-5562
Mailing Address - Country:US
Mailing Address - Phone:540-494-5070
Mailing Address - Fax:
Practice Address - Street 1:1404 GRAVEL HILL RD
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:VA
Practice Address - Zip Code:24179-5562
Practice Address - Country:US
Practice Address - Phone:540-494-5070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001223921163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health