Individual provider · Type 1 NPI

Michael Allen Icenberg

Licensed Practical Nurse · Gainesville, FL

NPI number 1295024065 Active

Practice location

4300 SW 13th St
Gainesville, FL 32608-4006

Call (352) 374-5600 Map

Fax (352) 374-5608

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X5163299 (FL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1295024065

Michael Allen Icenberg's National Provider Identifier is 1295024065, issued on Apr 1, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Gainesville, FL. The record was last updated on Apr 1, 2011.