Individual
HANNAH MICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,FNP-C
Contact information
Practice address
3700 PARK EAST DR STE 450, BEACHWOOD, OH 44122-4318
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
342325
NY
363LF0000X
Family Nurse Practitioner
0037109
OH
363LF0000X
Family Nurse Practitioner
1187818
TX
363LF0000X
Family Nurse Practitioner
Primary
342325
NY
363LF0000X
Family Nurse Practitioner
APN.1000402-NP
CO
Other
Enumeration date
09/26/2017
Last updated
05/13/2025
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