Individual
ELIZABETH B MICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4615 HUNTRIDGE RD, ROANOKE, VA 24012-8510
(540) 977-0900
(540) 977-0550
Mailing address
2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 37027-4692
(615) 373-7600
(866) 346-1426
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024180057
VA
Other
Enumeration date
08/28/2020
Last updated
06/02/2023
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