Timothy Sigurol Mickey
Community Health Worker in Bremerton, WA. Individual provider (NPI-1).
NPI number1942810767
StatusActive
Last updated in NPPESJan 14, 2022
Details
- NPI
- 1942810767
- Entity type
- Individual (NPI-1)
- Name
- Timothy Sigurol Mickey
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2020
- Certification date
- Jan 14, 2022
- Last updated
- Jan 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
5455 Almira Dr NeBremerton, WA 98311-8330
Phone 360-373-5031
Mailing address
5455 Almira Dr NeBremerton, WA 98311-8330
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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