Latoya Denise Mickle, APRN
Nurse Practitioner, Family in Columbia, SC. Individual provider (NPI-1).
NPI number1487954079
StatusActive
Last updated in NPPESSep 17, 2024
Details
- NPI
- 1487954079
- Entity type
- Individual (NPI-1)
- Name
- Latoya Denise Mickle
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2010
- Certification date
- Sep 17, 2024
- Last updated
- Sep 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4225 | SC | Yes |
Practice location
111 Doctor CirColumbia, SC 29203-6502
Phone 800-491-0909
Mailing address
111 Doctor CirColumbia, SC 29203-6502
Phone 800-491-0909
Other practice locations
7613 Garners Ferry Rd
Columbia, SC 29209-3811
Columbia, SC 29209-3811
Phone 839-600-9190 · Fax 839-600-9195
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