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ERIN LEAH MICKELSON
NPI 1508338732
Family Medicine - Adult Medicine in Prescott, AZ

Active since December 28, 2018
1542 MARVIN GARDENS LN, PRESCOTT, AZ 86301(928) 312-2011 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Erin Leah Mickelson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIN LEAH MICKELSON (NPI 1508338732) is an individual adult medicine provider in Prescott, Arizona, licensed in Arizona (137284) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1508338732
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameERIN LEAH MICKELSON
Location Address1542 MARVIN GARDENS LNPrescott, AZ 86301-5528
Mailing Address10 BroadmoorPrescott, AZ 86305-5086 · (928) 445-2692
Phone(928) 312-2011
Sole ProprietorYes
Enumeration DateDecember 28, 2018
✔ NPI 1508338732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in AZ · 137284
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1542 MARVIN GARDENS LN, Prescott, AZ 86301
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erin Mickelson's NPI number?

The NPI number for Erin Mickelson is 1508338732. It was assigned to this individual provider in the NPPES registry on December 28, 2018.

Where is Erin Mickelson located?

Erin Mickelson practices at 1542 Marvin Gardens Ln, Prescott, AZ 86301. The listed phone number is (928) 312-2011.

What is Erin Mickelson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Erin Mickelson was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.