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Rebecca Mikkelson

NPI 1326912973 · on the registry since 2025 · sole proprietor

Practice

Address
1402 Main St Nw Ste B
Los Lunas, NM 87031
Phone
(505) 710-8973
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YP2500X
101YS0200X
225C00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico