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Individual
MIKAYLAH AVIS
Active
Individual
MIKAYLAH AVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
149353
IA
363L00000X
Nurse Practitioner
Primary
H183758
IA
363LA2100X
Acute Care Nurse Practitioner
H183758
IA
Other
Enumeration date
02/06/2025
Last updated
06/18/2025
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