Individual
MRS. NADA MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3259 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-1227
(928) 772-6422
(928) 772-6425
Mailing address
8680 N OAK FOREST DR, PRESCOTT, AZ 86305-8702
(928) 445-4404
(928) 445-4404
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APO225
AZ
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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