Individual
REBEKAH MICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
34TH STREET AND CIVIC CENTER BOULEVARD, SUITE 9329, PHILADELPHIA, PA 19104-4399
(215) 590-1858
Mailing address
100 E PENN SQ, THE WANAMAKER BUILDING, 9TH FLOOR, NORTH, PHILADELPHIA, PA 19107-3323
(267) 425-9320
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN597295
PA
Other
Enumeration date
07/15/2015
Last updated
12/11/2025
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