Bickle, Diane Michele

Bickle, Diane Michele is an individual health care provider with primary practice located at 2202 N Stockton Hill Rd Ste 100 , Kingman AZ 86401-4622. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bickle, Diane Michele can be contacted via phone (928) 681-8706.

Contact Information

Primary practice address
2202 N Stockton Hill Rd Ste 100 Kingman AZ 86401-4622
Phone: (928) 681-8706
Fax: (928) 861-8707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP2757 Arizona

Profile Details

NPI number 1124271598
LBN Legal business name Bickle, Diane Michele
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2008
Last updated Apr 3rd, 2024 - about last year

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 1124271598 NPPES
Arizona MEDICAID 596098

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