Individual
IRENA MIELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12183 E MERCER LN, SCOTTSDALE, AZ 85259-4205
(480) 751-9842
Mailing address
12183 E MERCER LN, SCOTTSDALE, AZ 85259-4205
(480) 751-9842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
251906
AZ
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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