Individual
MS. MIKAYLA DANAE ANDREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1008 E MCDOWELL RD STE A, PHOENIX, AZ 85006-2603
(602) 358-8588
(602) 688-6991
Mailing address
5726 N 10TH ST UNIT 8, PHOENIX, AZ 85014-2273
(602) 920-7850
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F05220430
AZ
Other
Enumeration date
06/18/2022
Last updated
12/18/2023
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