Mikrut, Jean Ann

Mikrut, Jean Ann is an sole proprietor health care provider with primary practice located at Po Box 11385 , Prescott AZ 86304-1385. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Mikrut, Jean Ann can be contacted via phone (928) 458-6025.

Contact Information

Primary practice address
Po Box 11385 Prescott AZ 86304-1385
Phone: (928) 458-6025
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 727156 Arizona
Nursing Service Providers / Registered Nurse 163W00000X 278126 Arizona

Profile Details

NPI number 1639112907
LBN Legal business name Mikrut, Jean Ann
Credentials REGISTERED DIETITIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Jul 25th, 2024 - about 2 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 1639112907 NPPES
Arizona MEDICAID 106736

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