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

Jean Ann Mikrut, REGISTEREDDIETITIAN

Individual provider Registered Dietitian · NPI 1639112907

Jean Ann Mikrut, REGISTEREDDIETITIAN is a Registered Dietitian in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
Specialties on file
2
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 11385
Prescott, AZ 86304-1385
Phone: (928) 458-6025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 278126 (AZ)
Registered Dietitian Taxonomy 133V00000X · Licence 727156 (AZ)

Record details

NPI number1639112907
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDDIETITIAN
Sole proprietorYes
NPI enumeratedJune 14, 2006
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

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