Individual
MRS. SUSAN MICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1100 TRANCAS ST, SUITE 270, NAPA, CA 94558-2900
(707) 252-1076
(707) 252-7923
Mailing address
1100 TRANCAS ST, SUITE 270, NAPA, CA 94558-2900
(707) 252-1076
(707) 252-7923
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
490368
CA
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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