ANTHEA VYVIA MICKENS NPI 1497303168

NPI Information

NPI: 1497303168
Provider Name: ANTHEA VYVIA MICKENS
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1878 SELMA AVE
YOUNGSTOWN, OH
ZIP 44504
Phone: (330) 774-7551
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Anthea Vyvia Mickens is a family nurse practitioner in Youngstown, OH. Anthea Vyvia Mickens NPI is 1497303168. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1878 SELMA AVE
YOUNGSTOWN, OH
ZIP 44504-302
Phone: (330) 774-7551

The enumeration date for this NPI number is 8/27/2019 and was last updated on 8/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	304090	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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