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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TINA RENEE MICKLE, FNP-C

Active

TINA RENEE MICKLE, FNP-C is a Family Nurse Practitioner healthcare provider located in PRESCOTT VALLEY, Arizona. NPI 1215450374 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · PRESCOTT VALLEY, AZ

Registration Details

NPI Number
1215450374
Provider Type
Individual
Gender
Female
NPI Issued
Jul 20, 2017 (9.0545672921234 yrs)
Last Updated
Feb 17, 2025
License
TAP10322 (AZ)

Practice Information

Address
7700 E FLORENTINE RD STE 101
PRESCOTT VALLEY, AZ, 863142245
Browse AZ providers · Browse ZIP 86314
Phone
9284428710
Fax
9284428742
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in PRESCOTT VALLEY, AZ

Name Credential NPI
PEGGY TOWLES FNP-C 1598768871
MR. DAVID R BRIANT RNP 1356340707
MS. MILDA HARRIET ROGERS CFNP 1619952413
KAREN M JAMISON NP 1760455018
AMY M THEIN FNP 1124199492
SHELLY BETHANN DAMSCHRODER NP 1164750923
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.