Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Erin Leah Mickelson

Individual provider Adult Medicine Physician · NPI 1508338732

Erin Leah Mickelson is an Adult Medicine Physician in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2018

Practice location Address checks out

1542 Marvin Gardens Ln
Prescott, AZ 86301-5528
Phone: (928) 312-2011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 137284 (AZ)

Record details

NPI number1508338732
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 28, 2018
Last updated in NPPESDecember 28, 2018
Mailing address10 Broadmoor, Prescott, AZ 86305-5086

Other providers in Prescott