Individual
ABBY ELLEN MIKKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-7263
(206) 543-8736
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-7263
(206) 543-8736
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-135615-032
KS
163W00000X
Registered Nurse
RN60830283
WA
Other
Enumeration date
05/30/2020
Last updated
05/30/2020
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