Individual provider · Type 1 NPI

Philip M. Micksch, NP

Nurse Practitioner · Two Rivers, WI

NPI number 1669832887 Active

Practice location

5300 Memorial Dr, Suite 303
Two Rivers, WI 54241-3923

Call (920) 793-6550 Map

Fax (920) 793-6551

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X6871 - 33 (WI)
Nurse Practitioner Primary 363L00000X6871-33 (WI)

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 1669832887

Philip M. Micksch, NP's National Provider Identifier is 1669832887, issued on Mar 1, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Two Rivers, WI. The record was last updated on Apr 23, 2020.