Individual
LEXI LYNN MICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGDNP-C
Contact information
Practice address
5681 W BEVERLY LN STE 100, GLENDALE, AZ 85306-9802
(480) 443-8400
Mailing address
25852 N DESERT MESA DR, SURPRISE, AZ 85387-6823
(701) 690-9933
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP11501
AZ
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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