Individual provider · Type 1 NPI

Kathleen Dekoven McMicken, ARNP

Nurse Practitioner · Bartow, FL

NPI number 1689646317 Active

Practice location

2250 Osprey Blvd, Ste 100
Bartow, FL 33830

Fax (863) 533-7214

Mailing address

PO Box 95004
Lakeland, FL 33804

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP528982 (FL)

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 1689646317

Kathleen Dekoven McMicken, ARNP's National Provider Identifier is 1689646317, issued on Feb 6, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bartow, FL. The record was last updated on Oct 31, 2007.