Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marylyn Mitchell, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1730707860

Marylyn Mitchell, AGACNP-BC is a Nurse Practitioner in Temple, Texas. Qualified in 2020, 6 years ago. Practices with Lake Granbury Hospital-Based Professional Services, a 72-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
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Practice location Address checks out

2120 Broken Shoe Trl
Temple, TX 76502-0085
Phone: (254) 228-6062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1000062 (TX)

Record details

NPI number1730707860
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJuly 6, 2020
Last updated in NPPESJuly 6, 2020
Certification dateJuly 6, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lake Granbury Hospital-Based Professional Services — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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