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Individual

MS. LINDA ANN MICKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP, PMHCNS

Contact information

Practice address
622 MANZANO ST NE, ALBUQUERQUE, NM 87110-6302
(831) 252-7020
Mailing address
1300 CHAMA ST NE, ALBUQUERQUE, NM 87110-7120
(831) 252-7020

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP02121
NM

Other

Enumeration date
01/04/2013
Last updated
06/14/2013
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