MS. Nissa Mikkelsen

NPI #1205038007 in Prescott, Arizona

Provider Information

NPI Number: 1205038007
Entity Type: Individual
Name: MS. Nissa Mikkelsen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Jun 4, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: NORTHERN ARIZONA VA HCS
Address 2: 500 N. HWY 89
City: Prescott
State: Arizona
ZIP Code: 86313
Phone: (928) 445-4860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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