Individual
DEIRDRE MAE MICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
9 HDSN VLY PROF PLZ, NEWBURGH, NY 12550-3150
(845) 561-0990
(845) 562-1439
Mailing address
1 WEBSTER AVE STE 202, POUGHKEEPSIE, NY 12601-1362
(845) 483-5741
(845) 483-5713
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F420349
NY
363LF0000X
Family Nurse Practitioner
Primary
F420349
NY
363LW0102X
Women's Health Nurse Practitioner
F420349
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02462962
—
NY
Enumeration date
03/11/2008
Last updated
07/19/2021
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