Individual provider · Type 1 NPI

Nissa Mikkelsen

Dental Hygienist · Prescott, AZ

NPI number 1205038007 Active

Practice location

Northern Arizona Va Hcs, 500 N. Hwy 89
Prescott, AZ 86313

Call (928) 445-4860 Map

Mailing address

500 N. Hwy 89
Prescott, AZ 86313

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X5570 (AZ)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1205038007

Nissa Mikkelsen's National Provider Identifier is 1205038007, issued on Jun 4, 2007. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Prescott, AZ. The record was last updated on Jul 8, 2007.