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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558301150 NPPES
Texas MEDICAID 149335504

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