Individual provider · Type 1 NPI

Kyle Joseph Micon

Nurse Practitioner · Everett, WA

NPI number 1952827776 Active

Practice location

607 SE Everett Mall Way
Everett, WA 98208-3248

Mailing address

14515 N Creek Dr Apt A307
Mill Creek, WA 98012-5767

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP60763393 (WA)

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 1952827776

Kyle Joseph Micon's National Provider Identifier is 1952827776, issued on Aug 15, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Everett, WA. The record was last updated on Aug 15, 2017.