Individual provider · Type 1 NPI

Gregory David Mikut, ACNP

Acute Care Nurse Practitioner · Surprise, AZ

NPI number 1114582590 Active

Practice location

12361 W Bola Dr Ste 100
Surprise, AZ 85378-9021

Fax (480) 500-8430

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XRN169267 (AZ)

Acute Care Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1114582590

Gregory David Mikut, ACNP's National Provider Identifier is 1114582590, issued on May 1, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Surprise, AZ. The record was last updated on Oct 21, 2020.