Mikesch, Roxanne

Mikesch, Roxanne is an individual health care provider with primary practice located at 3800 S National Ave Ste 400 , Springfield MO 65807-5272. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mikesch, Roxanne can be contacted via phone (417) 875-3210.

Contact Information

Primary practice address
3800 S National Ave Ste 400 Springfield MO 65807-5272
Phone: (417) 875-3210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 083182 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 83182 Missouri

Profile Details

NPI number 1861591257
LBN Legal business name Mikesch, Roxanne
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Sep 10th, 2013 - about 11 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 1861591257 NPPES
Missouri Other 083182 STATE LICENSE
Missouri MEDICAID 1861591257 STATE LICENSE

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