Individual
KARLEENA MARIE MICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 GUTHRIE DR, CORNING, NY 14830-3696
(607) 973-7200
(607) 937-7866
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
344644
NY
363L00000X
Nurse Practitioner
Primary
F344644
NY
Other
Enumeration date
07/01/2019
Last updated
04/12/2021
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