Erin L. Micenheimer, PA-C
Physician Assistant · Wood River, IL
UnclaimedPA-CNPI 1871897207
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2010-12-28
- Practice location
- Wood River, IL
- Last NPPES update
- 2012-04-12
State licenses
- IL · Physician assistant · LICENSED PHYSICIAN ASSISTANTInactivethrough 2014
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.