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Anthea Vyvia Mickens
Family Nurse Practitioner in Youngstown, Ohio
NPI 1497303168

Anthea Vyvia Mickens is a Family Nurse Practitioner based in Youngstown, OH and is specialized in Family. Anthea Vyvia Mickens practices in Youngstown, OH. The NPI Number for Anthea Vyvia Mickens is 1497303168 and holds a License No. 304090 (Ohio).

The current practice location address for Anthea Vyvia Mickens is 1878 Selma Ave, Youngstown, OH and can be reached out via phone at 330-774-7551.

Location: 1878 Selma Ave, Youngstown, OH, 44504-1302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497303168
Provider Name
Anthea Vyvia Mickens
Credential
Provider Entity Type
Individual
Gender
Female
Address
1878 Selma Ave, Youngstown, OH, 44504-1302
Phone Number
330-774-7551
Fax Number
Provider Enumeration Date
08/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1878 Selma Ave
City
Youngstown
State
Ohio
Zip
44504-1302
Phone Number
330-774-7551
Fax Number
person
Provider Business Mailing Address Details
Address
1878 Selma Ave
City
Youngstown
State
Ohio
Zip
44504-1302
Phone Number
330-774-7551
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
304090 (Ohio)
Definition
Definition to come...
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