Individual
MR. CHRISTIAN MIKESELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
10208 CERNY ST STE 210, RALEIGH, NC 27617-7885
(919) 629-1658
(919) 484-8218
Mailing address
10208 CERNY ST STE 210, RALEIGH, NC 27617-7885
(919) 629-1658
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
5009947
NC
Other
Enumeration date
10/11/2017
Last updated
05/04/2024
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