Mickle, Irma
Mickle, Irma is an individual health care provider with primary practice located at 9006 N Navarro St Ste B , Victoria TX 77904-1566. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mickle, Irma can be contacted via phone (361) 485-0500.Contact Information
Primary practice address
9006 N Navarro St Ste B
Victoria TX 77904-1566
Phone: (361) 485-0500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 249963 | Texas |
Profile Details
| NPI number | 1558301150 |
|---|---|
| LBN Legal business name | Mickle, Irma |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Sep 1st, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558301150 | NPPES |
| Texas | MEDICAID | 149335504 |
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