IndividualActive
Bobby Mickens, NP
NPI 1558773028 · Women's Health Nurse Practitioner · Phoenix, AZ
Provider details
- NPI number
- 1558773028
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 2006020259 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
303 E Baseline Rd
Phoenix, AZ 85042-6530
Phone: (022) 437-2776
Fax: (602) 276-4427
Approximate (ZIP-level) locationGet directions
Mailing address
3003 N Central Ave Ste 1600
Phoenix, AZ 85012-2908
Registry dates
- Enumerated
- 2014-06-02
- Last updated
- 2020-07-07
- Certified
- 2020-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.