Individual provider · Type 1 NPI
Erin Leah Mickelson
Adult Medicine Physician · Prescott, AZ
NPI number
1508338732
Active
Practice location
1542 Marvin Gardens Ln
Prescott, AZ 86301-5528
Mailing address
10 Broadmoor
Prescott, AZ 86305-5086
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 137284 (AZ) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1508338732
Erin Leah Mickelson's National Provider Identifier is 1508338732, issued on Dec 28, 2018. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Prescott, AZ. The record was last updated on Dec 28, 2018.