TINA RENEE MICKLE

PRESCOTT VALLEY, AZ
NPI1215450374
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  TAP10322)
Enumeration Date2017-07-20
Last Update Date2025-02-17
Business Address
TINA RENEE MICKLE FNP-C
7700 E FLORENTINE RD STE 101
PRESCOTT VALLEY, AZ 86314-2245
Phone number: 928-442-8710
Mailing Address
TINA RENEE MICKLE FNP-C
PO BOX 10880
PRESCOTT, AZ 86304-0880
Phone number: 602-406-4786
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