Nanette M Mickiewicz in Santa Cruz - Infectious Disease

Nanette M Mickiewicz - NPI 1558319079

Nanette M Mickiewicz is a Infectious Disease in Santa Cruz, California. Nanette M Mickiewicz practices all healthcare services and medical treatments related to Infectious Disease. The NPI Number for Nanette M Mickiewicz is 1558319079. The last update date is 2012-02-09.

Nanette M Mickiewicz's current location address is 700 Frederick St, Santa Cruz, California. You can contact this provider via phone number 8314627512 and fax number 4155912446. The mailing address for Nanette M Mickiewicz is 700 Frederick St, Santa Cruz, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Nanette M Mickiewicz
Address 700 Frederick St, Santa Cruz, California
Phone Number 8314627512
Fax Number 4155912446
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1558319079
Provider Enumeration Date 2006-05-05
Last Updated Date 2012-02-09

Provider Mailing Address Detail

Address 700 Frederick St
City Santa Cruz
State California (CA)
Post Code 950622239
Phone Number 8314627512
Fax Number 4155912446

Provider's Primary Taxonomy Detail

Speciality Infectious Disease
Taxonomy 207Ri0200X
Licence No G646700
Definition:
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers whi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G646700 CA --

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FAQs about Nanette M Mickiewicz

What is the unique 10-digit identifier code assigned to Nanette M Mickiewicz by the Centers for Medicare & Medicaid Services?

The Nanette M Mickiewicz has been issued the NPI (National Provider Identifier) 1558319079 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Nanette M Mickiewicz is geographically located?

The Nanette M Mickiewicz is physically situated at the following location: 700 Frederick St, Santa Cruz, CA, 950622239.

What is Nanette M Mickiewicz's specialized field of practice, and what is the corresponding taxonomy classification code?

The Nanette M Mickiewicz's area of specialization is Infectious Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Ri0200X.

On what date did Nanette M Mickiewicz receive its 1558319079 assignment from the Centers for Medicare & Medicaid Services?

The Nanette M Mickiewicz was assigned its 1558319079 on 2006-05-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Nanette M Mickiewicz most recently updated or refreshed?

The details pertaining to the Nanette M Mickiewicz, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-02-09.

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