Individual
MICKAYLA WHISNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 10TH AVE STE A, SIDNEY, NE 69162-2001
(308) 524-5573
(308) 524-5587
Mailing address
212 9TH ST, FOWLER, CO 81039-1014
(308) 524-5573
(308) 524-5587
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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