NPI 1205038007
Nissa Mikkelsen
Practice location
- Address
- Northern Arizona VA Hcs 500 N. Hwy 89, Prescott, AZ 86313
- Phone
- (928) 445-4860
- Mailing address
- 500 N. Hwy 89, Prescott, AZ 86313
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1205038007
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Jun 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.