Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Latoya Nicole Mitchell, PA

Individual provider Physician Assistant · NPI 1760718928

Latoya Nicole Mitchell, PA is a Physician Assistant in Troy, Michigan. Qualified in 2008, 18 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
18
Licensed in
MI
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 964-5000
Fax: (248) 964-4848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16001 W 9 Mile Rd, Southfield, MI 48075-4818 — (248) 849-8721

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005404 (MI)

Record details

NPI number1760718928
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 22, 2009
Last updated in NPPESDecember 23, 2020
Certification dateDecember 23, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Henry Ford Health Providence Hospital — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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