Individual
KRISTINA MIKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1100 W TOWN AND COUNTRY RD STE 1300, ORANGE, CA 92868-4654
(855) 434-7767
Mailing address
17855 DALLAS PKWY STE 200, DALLAS, TX 75287-6857
(909) 295-6006
(909) 331-4811
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
9502017
CA
Other
Enumeration date
08/24/2022
Last updated
05/19/2023
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