Individual
KELSEY LYNN MICONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1531 ESPLANADE, CHICO, CA 95926-3310
(530) 332-7300
Mailing address
15115 MERIDIAN RD, CHICO, CA 95973-9464
(530) 521-6213
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95010767
CA
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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