Provider Demographics
NPI:1043935505
Name:HUTCHINSON-MITCHELL, SHAWNLEE P (APRN, FNP)
Entity type:Individual
Prefix:MRS
First Name:SHAWNLEE
Middle Name:P
Last Name:HUTCHINSON-MITCHELL
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:493 POND ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-3947
Mailing Address - Country:US
Mailing Address - Phone:646-309-5672
Mailing Address - Fax:
Practice Address - Street 1:493 POND ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-3947
Practice Address - Country:US
Practice Address - Phone:646-309-5672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-06
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY350458363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty