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Individual
VICTORIA L MICHENER
Active
Individual
VICTORIA L MICHENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
510452
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141155505
—
TX
05
—
141155506
—
TX
05
—
141155507
—
TX
01
—
89N817
BLUECROSS BLUESHIELD
TN
Enumeration date
05/24/2006
Last updated
06/03/2009
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