Alexandra Elizabeth Mickler CPNP

NPI 1730482126 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1730482126
Gender Female
Enumeration Date 12/07/2010
Last Updated 12/07/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2772 RUTLAND RD
DAVIDSONVILLE MD, 21035-1228, US
Phone (410) 798-1600
Fax
Business Location
2772 RUTLAND RD
DAVIDSONVILLE MD, 21035-1228, US
Phone (410) 798-1600
Fax
Toxanomy
Taxonomy Code 363LP0200X
License State Maryland
License Number R174096
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According to our database, Ms. Alexandra Elizabeth Mickler CPNP NPI is 1730482126, taxonomy code is 363LP0200X and license number is R174096, license state is located at Maryland. Alexandra Elizabeth Mickler CPNP physically located at 2772 Rutland Rd, Davidsonville MD, 21035-1228. NPI Number Alexandra Elizabeth Mickler CPNP has the Individual type.

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1730482126 NPI number is provided on an as is basis without warranty of any kind. 1730482126 is maintained by the National Plan & Provider Enumeration System. The contents of Alexandra Elizabeth Mickler CPNP are for informational purposes only.