Provider Demographics
NPI:1942039961
Name:MITCHELL, BRIANNA HOPE (CRNP)
Entity type:Individual
Prefix:MS
First Name:BRIANNA
Middle Name:HOPE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 E PIKE RD
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-2236
Mailing Address - Country:US
Mailing Address - Phone:724-549-8436
Mailing Address - Fax:
Practice Address - Street 1:1265 WAYNE AVE STE 208
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3597
Practice Address - Country:US
Practice Address - Phone:724-464-2761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP030239363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily