Individual
GAIL MICKALONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
826 MAIN ST, SUITE 201, PHOENIXVILLE, PA 19460-4459
(610) 415-1100
(610) 415-1101
Mailing address
826 MAIN ST, SUITE 201, PHOENIXVILLE, PA 19460-4459
(610) 415-1100
(610) 415-1101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP009297
PA
Other
Enumeration date
12/12/2007
Last updated
11/16/2012
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