IndividualActive
Jennifer Mikkelsen, RDMS, RVT, RT(R)
NPI 1487184487 · Sonography Radiologic Technologist · Wasilla, AK
Provider details
- NPI number
- 1487184487
- Entity type
- Individual
- Primary specialty
- Sonography Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- RDMS, RVT, RT(R)
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1700 E Bogard Rd Ste A200
Wasilla, AK 99654-6569
Phone: (907) 357-2158
Approximate (ZIP-level) locationGet directions
Mailing address
1700 E Bogard Rd Ste A200
Wasilla, AK 99654-6569
Registry dates
- Enumerated
- 2017-06-13
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.