Individual
NIKLAS WALTER MIKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
250 MEMORIAL DR STE D, LURAY, VA 22835-1000
(804) 586-4425
Mailing address
130 SHENANDALE DR, MCGAHEYSVILLE, VA 22840-2148
(804) 586-4425
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024190524
VA
Other
Enumeration date
06/24/2024
Last updated
08/14/2024
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