Provider Demographics
NPI:1023800034
Name:MIKKELSEN, MONICA NAGLE
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:NAGLE
Last Name:MIKKELSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 INVERNESS DR S APT 2305
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-6164
Mailing Address - Country:US
Mailing Address - Phone:720-354-0904
Mailing Address - Fax:
Practice Address - Street 1:324 INVERNESS DR S APT 2305
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-6164
Practice Address - Country:US
Practice Address - Phone:720-354-0904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health