Individual
MICHELE A MIKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 HIGHLANDS DR, LITITZ, PA 17543-7694
(717) 782-3282
(717) 231-8964
Mailing address
420 W BERTSCH ST, LANSFORD, PA 18232-1003
(570) 645-4476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN240542-L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
039246
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1783409
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/23/2006
Last updated
01/27/2021
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