Individual
LINDSEY J MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2701 E ENTERPRISE AVE, APPLETON, WI 54913-7729
(920) 954-2551
(920) 954-2554
Mailing address
2701 E ENTERPRISE AVE, APPLETON, WI 54913-7729
(920) 954-2551
(920) 954-2554
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1636833
WI
363LP0200X
Pediatric Nurse Practitioner
1636833
WI
Other
Enumeration date
01/14/2025
Last updated
01/29/2025
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