IndividualActive
Alicia Mickelson
NPI 1407679707 · Registered Nurse · Slc, UT
Provider details
- NPI number
- 1407679707
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 8138539-3102 (UT)
Mailing address
1875 S Redwood Rd
Slc, UT 84104-5112
Registry dates
- Enumerated
- 2024-11-05
- Last updated
- 2024-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.