Anne Mickleburgh in Waco - Physician Assistant

Anne Mickleburgh - NPI 1629292669

Anne Mickleburgh is a Physician Assistant in Waco, Texas. Anne Mickleburgh practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Anne Mickleburgh is 1629292669. The last update date is 2020-09-23.

Anne Mickleburgh's current location address is 2304 Marketplace Dr, Waco, Texas. You can contact this provider via phone number 2542027300 and fax number 2542027350. The mailing address for Anne Mickleburgh is 2304 Marketplace Dr, Waco, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Anne Mickleburgh
Address 2304 Marketplace Dr, Waco, Texas
Phone Number 2542027300
Fax Number 2542027350
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1629292669
Provider Enumeration Date 2007-04-12
Last Updated Date 2020-09-23

Provider Mailing Address Detail

Address 2304 Marketplace Dr
City Waco
State Texas (TX)
Post Code 767112467
Phone Number 2542027300
Fax Number 2542027350

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA02063
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Anne Mickleburgh

What is the unique identifier code issued to Anne Mickleburgh by the Centers for Medicare & Medicaid Services (CMS)?

The Anne Mickleburgh has been assigned the NPI (National Provider Identifier) 1629292669. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Anne Mickleburgh's facilities are situated?

The facilities of Anne Mickleburgh are physically located at the following address: 2304 Marketplace Dr, Waco, TX, 767112467.

What is Anne Mickleburgh's specialized field of practice, and what is the corresponding taxonomy classification code?

The Anne Mickleburgh's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date was the 1629292669 assigned to Anne Mickleburgh?

The Anne Mickleburgh was issued its 1629292669 on 2007-04-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Anne Mickleburgh last refreshed?

The information related to the Anne Mickleburgh, including its address, specialty, and other relevant details, was last updated on 2020-09-23.

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