Individual
MICKEY LYNN HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP,APRN
Contact information
Practice address
930 N SWITZER CANYON DR, SUITE 202, FLAGSTAFF, AZ 86001-4824
(928) 779-5707
(928) 779-5753
Mailing address
930 N SWITZER CANYON DR, SUITE 202, FLAGSTAFF, AZ 86001-4824
(928) 779-5707
(928) 779-5753
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
198439-4405
UT
Other
Enumeration date
09/01/2006
Last updated
10/05/2009
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