Individual provider · Type 1 NPI

Mickey Miqueli-Piazza, ARNP

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1104701366 Active

Practice location

13535 SW 72nd Ave Ste 170
Portland, OR 97223-8074

Mailing address

455 Deer Creek Lake Point South Ln
Deerfield Beach, FL 33442-8462

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XAPRN11040949 (FL)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAPRN11040949 (FL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X10050055 (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1104701366

Mickey Miqueli-Piazza, ARNP's National Provider Identifier is 1104701366, issued on Aug 7, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Dec 3, 2025.