Individual
BARBARA A MICKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1030 E MORGAN ST, MARTINSVILLE, IN 46151-1743
(812) 200-2789
(317) 530-9084
Mailing address
1030 E MORGAN ST, MARTINSVILLE, IN 46151-1743
(812) 558-0574
(317) 530-9084
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71002020A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71002020A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200851410
—
IN
01
—
P01019189
RR MEDICARE PIN
IN
01
—
P01679074
MEDICARE RAILROAD PTAN
IN
Enumeration date
08/17/2006
Last updated
09/27/2022
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