Mikkalson, Genell Lynn

Mikkalson, Genell Lynn is an individual health care provider with primary practice located at 580 Court St , Keene NH 03431-1718. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mikkalson, Genell Lynn can be contacted via phone (603) 354-5454.

Contact Information

Primary practice address
580 Court St Keene NH 03431-1718
Phone: (603) 354-5454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 048845-23-01 New Hampshire

Profile Details

NPI number 1699850446
LBN Legal business name Mikkalson, Genell Lynn
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1699850446 NPPES
New Hampshire Other 048845-23-01 ARNP-CERTIFIED NURSE MIDW
New Hampshire Other 048845-21 ARNP-CERTIFIED NURSE MIDW

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