Individual
DEBORAH LYNN MICKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
651 GEORGE JUNIOR RD, GROVE CITY, PA 16127-4533
(724) 372-4643
Mailing address
651 GEORGE JUNIOR RD, GROVE CITY, PA 16127-4533
(724) 372-4643
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
RN513918L
PA
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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