Individual provider · Type 1 NPI

Anthea Vyvia Mickens, APRN

Family Nurse Practitioner · Boardman, OH

NPI number 1497303168 Active

Practice location

930 Trailwood Dr
Boardman, OH 44512-5007

Fax (866) 460-2997

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN.304090 (OH)
Family Nurse Practitioner Primary 363LF0000XAPRN.CNP.025911 (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1497303168

Anthea Vyvia Mickens, APRN's National Provider Identifier is 1497303168, issued on Aug 27, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boardman, OH. The record was last updated on Sep 3, 2026.