Individual
MICKI L POCKER
Active
Individual
MICKI L POCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
3005612
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000620804
ANTHEM - LMVA
KY
01
—
000000735276
ANTHEM - WOMEN'S SPECIALIST
KY
01
—
000023036V
HUMANA - LMVA
KY
01
—
105635
SIHO - LMVA
KY
01
—
1408744
CIGNA - LMVA
KY
05
—
200947930
—
IN
01
—
3721649000
PASSPORT ADVANTAGE - LMVA
KY
01
—
50024344
PASSPORT - LMVA
KY
05
—
7100072010
—
KY
01
—
P00828506
RAILROAD MEDICARE - LMVA
KY
Enumeration date
09/17/2008
Last updated
09/17/2021
Update your record
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