| NPI | 1821384587 |
|---|---|
| Former Name | VICKIE L MIZELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A0O3524) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R36154) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2026-05-29 |