Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW ALLAN MICKELSON
ActiveMATTHEW ALLAN MICKELSON is a Family Nurse Practitioner healthcare provider located in DEFOREST, Wisconsin. NPI 1942907647 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · DEFOREST, WI
Registration Details
- NPI Number
- 1942907647
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2023 (3.4710612408346 yrs)
- Last Updated
- Sep 12, 2023
- Licenses
-
241314 (WI)13661-33 (WI)
Practice Information
- Address
-
4200 SAVANNAH DRDEFOREST, WI, 535322909Browse WI providers · Browse ZIP 53532
- Phone
- 6084173300
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in DEFOREST, WI
| Name | Credential | NPI |
|---|---|---|
| CATRINA HEATH | APNP | 1518326412 |
| KAYLYN BLOYER | NP | 1326598939 |
| SARA ELIZABETH SCHLESNER VAUGHN | FNP-BC | 1053055814 |
| MERCEDES YASMINE LEWIS | FNP-C | 1972467793 |
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.