Individual
SHEILA MICKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 694-0111
Mailing address
4445 W RUTH AVE, GLENDALE, AZ 85302-5325
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
165462
AZ
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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