KRISHUNA S MICKENS - NPI 1548838766 - Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Krishuna S Mickens NPPES

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

KRISHUNA S MICKENS (NPI 1548838766) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1548838766

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKRISHUNA S MICKENS

Location Address1912 W 75TH STLos Angeles, CA 90047-2324

Mailing Address1912 W 75th StLos Angeles, CA 90047-2324 · (323) 895-2596

Phone(323) 895-2596

Sole ProprietorYes

Enumeration DateJune 14, 2021

NPPES CertifiedJune 14, 2021

✔ NPI 1548838766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

1912 W 75TH ST, Los Angeles, CA 90047

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Frequently Asked Questions

What is Krishuna Mickens's NPI number?

The NPI number assigned to this healthcare provider is 1548838766, enumerated as an "individual" on June 14, 2021.

Where is the provider located?

The provider is located at 1912 W 75TH ST LOS ANGELES, CA 90047 and the phone number is (323) 895-2596.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.