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Individual
MICALENA ROSE PERKINS
Active
Individual
MICALENA ROSE PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CPNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4938107-4405
UT
363L00000X
Nurse Practitioner
4938107-8900
UT
363L00000X
Nurse Practitioner
Primary
71285
ID
363LP0200X
Pediatric Nurse Practitioner
19447
CA
363LP0200X
Pediatric Nurse Practitioner
4938107-4405
UT
Other
Enumeration date
02/24/2010
Last updated
04/11/2022
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