Mikles, Lisa M

Mikles, Lisa M is an individual health care provider with primary practice located at 6740 Alexander Bell Dr Ste 200 , Columbia MD 21046-2253. 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. Mikles, Lisa M can be contacted via phone (410) 997-8444.

Contact Information

Primary practice address
6740 Alexander Bell Dr Ste 200 Columbia MD 21046-2253
Phone: (410) 997-8444
Fax: (410) 997-8832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R071359 Maryland

Profile Details

NPI number 1902867427
LBN Legal business name Mikles, Lisa M
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2006
Last updated Jul 20th, 2023 - about 3 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 1902867427 NPPES
Maryland Other 0025 CAREFIRST-DC
Maryland Other 525683-02 CAREFIRST-DC

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