Individual provider · Type 1 NPI

Kristina Mikell, AGNP-C

Gerontology Nurse Practitioner · Orange, CA

NPI number 1154040111 Active

Practice location

1100 W Town And Country Rd Ste 1300
Orange, CA 92868-4654

Mailing address

17855 Dallas Pkwy Ste 200
Dallas, TX 75287-6857

Other practice locations

  • 3110 E Guasti Rd Ste 315, Ontario, CA 91761-1258 · (858) 592-2000

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X9502017 (CA)

Gerontology Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1154040111

Kristina Mikell, AGNP-C's National Provider Identifier is 1154040111, issued on Aug 24, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Orange, CA. The record was last updated on May 19, 2023.