Individual
BROOKANNE J MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2891 E MALL DR STE 101, ST GEORGE, UT 84790-2399
(435) 656-2424
(435) 656-2828
Mailing address
PO BOX 912042, ST GEORGE, UT 84791-2042
(435) 656-2424
(435) 656-2828
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
222657-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
222657-4405
UT
Other
Enumeration date
07/21/2005
Last updated
04/02/2026
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