SHANTAVIA MITCHELL
Community Health Worker
Active
Individual
NPI: 1104717453
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Health Worker | 172V00000X | Yes | - |
Frequently Asked Questions
NPI 1104717453 is the National Provider Identifier for SHANTAVIA MITCHELL, a Community Health Worker provider located in Fairbanks, AK. This NPI was enumerated on July 14, 2025.
SHANTAVIA MITCHELL practices at 209 FORTY MILE AVE, Fairbanks, AK 99701.
Quick Facts
- NPI
- 1104717453
- Type
- Individual
- Enumerated
- Jul 14, 2025
- Last Updated
- Jul 14, 2025
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