Andrew Micklus
Andrew Micklus is a Peer Specialist in Boise, Idaho. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
12553 W Explorer Dr Ste 190Boise, ID 83713-1612
Phone: (208) 376-7083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1720816309 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 24, 2024 |
| Last updated in NPPES | July 24, 2024 |
| Certification date | July 24, 2024 |
| Mailing address | 12553 W Explorer Dr Ste 190, Boise, ID 83713-1612 |
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