Individual
NANCY ANN MIKESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(720) 434-4876
Mailing address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(720) 434-4876
(303) 225-4246
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
87713
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74453262
—
CO
Enumeration date
02/17/2012
Last updated
07/25/2019
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