Individual provider · Type 1 NPI

Diana Marie Mikulencak-Picha, NP-C

Nurse Practitioner · Gonzales, TX

NPI number 1790283596 Active

Practice location

1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311

Mailing address

1430 N Avenue B
Shiner, TX 77984-6220

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X830443 (TX)
Nurse Practitioner Primary 363L00000XAP136271 (TX)

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 1790283596

Diana Marie Mikulencak-Picha, NP-C's National Provider Identifier is 1790283596, issued on Jan 26, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gonzales, TX. The record was last updated on Jan 26, 2018.