Individual
MRS. KATHLEEN MICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, RN
Contact information
Practice address
467 MCCLEES RD, ATLANTIC HIGHLANDS, NJ 07716-2228
(908) 994-7313
Mailing address
467 MCCLEES RD, ATLANTIC HIGHLANDS, NJ 07716-2228
(732) 239-9051
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00069500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066366
—
NJ
Enumeration date
08/17/2006
Last updated
05/14/2024
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