# MR. MICAH WAYNE DUKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750952412
- **Gender:** Man
- **Credential:** APRN, RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | 772790 | TX | — |
| 163W00000X | Registered Nurse | 958785 | TX | — |
| 163WE0003X | Emergency Registered Nurse | 958785 | TX | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 1107769 | TX | — |
| 2084P0800X | Psychiatry Physician | 1107769 | TX | — |
| 2084P0802X | Addiction Psychiatry Physician | 1107769 | TX | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 1107769 | TX | — |
| 363LA2200X | Adult Health Nurse Practitioner | 1107769 | TX | — |
| 363LC1500X | Community Health Nurse Practitioner | 1107769 | TX | — |
| 363LF0000X | Family Nurse Practitioner | 1107769 | TX | — |
| 363LG0600X | Gerontology Nurse Practitioner | 1107769 | TX | — |
| 363LP0200X | Pediatric Nurse Practitioner | 1107769 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1107769 | TX | Yes |

## Other

- **Enumeration date:** 07/05/2021
- **Last updated:** 01/04/2024