Individual
AMY MIKLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
139 SANDWICH ST, PLYMOUTH, MA 02360-2449
(508) 746-5900
Mailing address
PO BOX 507, OSTERVILLE, MA 02655-0507
(774) 238-1550
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN233126
MA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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