Brookanne J Mickelson FNP-BC

NPI 1013916915 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1013916915
Gender Female
Enumeration Date 07/21/2005
Last Updated 11/19/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
652 S MEDICAL CENTER DR
STE 110
ST GEORGE UT, 84790-7049, US
Phone (435) 656-2424
Fax (435) 656-2828
Business Location
652 S MEDICAL CENTER DR
STE 110
ST GEORGE UT, 84790-7049, US
Phone (435) 656-2424
Fax (435) 656-2828
Toxanomy
Taxonomy Code 363L00000X
License State Utah
License Number 222657-4405
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According to our database, Brookanne J Mickelson FNP-BC NPI is 1013916915, taxonomy code is 363L00000X and license number is 222657-4405, license state is located at Utah. Brookanne J Mickelson FNP-BC physically located at 652 S Medical Center Dr, St George UT, 84790-7049. NPI Number Brookanne J Mickelson FNP-BC has the Individual type.

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1013916915 NPI number is provided on an as is basis without warranty of any kind. 1013916915 is maintained by the National Plan & Provider Enumeration System. The contents of Brookanne J Mickelson FNP-BC are for informational purposes only.