Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERIN LEAH MICKELSON
Active Sole ProprietorERIN LEAH MICKELSON is a Adolescent Medicine healthcare provider located in PRESCOTT, Arizona. NPI 1508338732 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · PRESCOTT, AZ
Registration Details
- NPI Number
- 1508338732
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 28, 2018 (7.6465257243823 yrs)
- Last Updated
- Dec 28, 2018
- License
-
137284 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1542 MARVIN GARDENS LNPRESCOTT, AZ, 863015528Browse AZ providers · Browse ZIP 86301
- Phone
- 9283122011
- Primary Specialty
-
Adolescent Medicine
207QA0505X
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.