| Doctor Name: | MRS. BEVERLY LYNDELE MIKUS |
| NPI Number: | 1821276452 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN064885 |
| Business Practice Address: | 410 Malacate St Ajo, AZ - 85321 |
| Business Phone Number: | 5207387703 |
| Business Fax Number: | 5203876036 |
| Mailing Address: | 3950 S Country Club Rd, Ste 400 TUCSON |
| State: | AZ |
| Postal Code: | 85714 |
| Phone Number: | 5202438000 |
| Fax Number: | 5202438311 |
| NPI Enumeration Date: | 02/06/2008 |
| NPI Last Update Date: | 02/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | RN064885 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |