Individual
LEILA MICKLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS FNP-BC
Contact information
Practice address
8415 N. PIMA RD, SUITE 100, SCOTTSDALE, AZ 85258-4509
(480) 661-4761
(480) 661-3990
Mailing address
8415 N PIMA RD, SUITE 100, SCOTTSDALE, AZ 85258-4480
(480) 661-4761
(480) 661-3990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4724
AZ
Other
Enumeration date
04/23/2013
Last updated
09/08/2016
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