Individual provider · Type 1 NPI

Brookanne J. Mickelson, FNP-BC

Family Nurse Practitioner · St. George, UT

NPI number 1013916915 Active

Practice location

2891 E Mall Dr Ste 101
St. George, UT 84790-2399

Call (435) 656-2424 Map

Fax (435) 656-2828

Mailing address

PO Box 912042
St. George, UT 84791-2042

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X222657-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1013916915

Brookanne J. Mickelson, FNP-BC's National Provider Identifier is 1013916915, issued on Jul 21, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. George, UT. The record was last updated on Apr 2, 2026.