Individual
AGNES MIKIJANIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
026-0029155
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68614
BLUE SHIELD OF VT
VT
05
—
ONP3598
—
VT
Enumeration date
06/25/2006
Last updated
07/13/2026
Update your record
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