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Latoya Denise Mickle, APRN
Family Nurse Practitioner in Columbia, South Carolina
NPI 1487954079

Latoya Denise Mickle is a Family Nurse Practitioner based in Columbia, SC and is specialized in Family. Latoya Denise Mickle practices in Columbia, SC and has the professional credentials of APRN. The NPI Number for Latoya Denise Mickle is 1487954079 and holds a License No. 4225 (South Carolina).

The current practice location address for Latoya Denise Mickle is 111 Doctor Cir, Columbia, SC and can be reached out via phone at 800-491-0909.

Location: 111 Doctor Cir, Columbia, SC, 29203-6502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487954079
Provider Name
Latoya Denise Mickle
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
111 Doctor Cir, Columbia, SC, 29203-6502
Phone Number
800-491-0909
Fax Number
Provider Enumeration Date
10/28/2010
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP1833 05 SC
institution
Provider Business Practice Location Address Details
Address
111 Doctor Cir
City
Columbia
State
South Carolina
Zip
29203-6502
Phone Number
800-491-0909
Fax Number
person
Provider Business Mailing Address Details
Address
111 Doctor Cir
City
Columbia
State
South Carolina
Zip
29203-6502
Phone Number
800-491-0909
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4225 (South Carolina)
Definition
Definition to come...
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