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Micah Leon Childress
Acute Care Nurse Practitioner in Rocklin, California
NPI 1063291847

Micah Leon Childress is an Acute Care Nurse Practitioner based in Rocklin, CA and is specialized in Acute Care. Micah Leon Childress practices in Rocklin, CA. The NPI Number for Micah Leon Childress is 1063291847 and holds a License No. 95027332 (California).

The current practice location address for Micah Leon Childress is 2340 Sunset Blvd #100, Rocklin, CA and can be reached out via phone at 903-918-3016.

Location: 2340 Sunset Blvd #100, Rocklin, CA, 95765-5593
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063291847
Provider Name
Micah Leon Childress
Credential
Provider Entity Type
Individual
Gender
Male
Address
2340 Sunset Blvd #100, Rocklin, CA, 95765-5593
Phone Number
903-918-3016
Fax Number
Provider Enumeration Date
09/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2340 Sunset Blvd #100
City
Rocklin
State
California
Zip
95765
Phone Number
903-918-3016
Fax Number
person
Provider Business Mailing Address Details
Address
2340 Sunset Blvd #100
City
Rocklin
State
California
Zip
95765
Phone Number
903-918-3016
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
95027332 (California)
Definition
Definition to come...
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