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

MS. Nissa Mikkelsen

Individual provider Dental Hygienist · NPI 1205038007

MS. Nissa Mikkelsen is a Dental Hygienist in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007

Practice location Partly verified

Some contact details are missing from the federal record.

Northern Arizona VA Hcs 500 N Hwy 89
Prescott, AZ 86313
Phone: (928) 445-4860
Show map & directions

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

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 5570 (AZ)

Record details

NPI number1205038007
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 4, 2007
Last updated in NPPESJuly 8, 2007

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