Individual
MS. ALEXANDRA ELIZABETH MICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2772 RUTLAND RD, DAVIDSONVILLE, MD 21035-1228
(410) 798-1600
Mailing address
2772 RUTLAND RD, DAVIDSONVILLE, MD 21035-1228
(410) 798-1600
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R174096
MD
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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