Individual provider · Type 1 NPI

Lidia Miclea

Nurse Practitioner · Branson, MO

NPI number 1629914452 Active

Practice location

101 Skaggs Rd Ste 103
Branson, MO 65616-2062

Mailing address

PO Box 7411626
Chicago, IL 60674-5626

Other practice locations

  • 3525 S National Ave Ste 101, Springfield, MO 65807-7315 · (000) 000-0000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2026017774 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1629914452

Lidia Miclea's National Provider Identifier is 1629914452, issued on Apr 24, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Branson, MO. The record was last updated on Aug 13, 2026.