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Individual

ANGELIA M MICKLE

Active
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Individual

ANGELIA M MICKLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.14976-NP
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.14976
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0095517
OH
Enumeration date
08/07/2013
Last updated
03/25/2025
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