DEBRA KAY MIKE RN CNP NPI 1740269927

NPI Information

  • NPI: 1740269927
  • Provider Name: DEBRA KAY MIKE, RN, CNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3400 W 66TH STREET
    SUITE 290
    EDINA, MN
    ZIP 55435
  • Phone: (952) 914-1727

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NPI Details

Debra Kay Mike, RN, CNP is a gerontology nurse practitioner in Edina, MN. Debra Kay Mike, RN, CNP NPI is 1740269927. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3400 W 66TH STREET
SUITE 290
EDINA, MN
ZIP 55435
Phone: (952) 914-1727
Fax: (952) 914-1727

The NPI 1740269927 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/16/2006 and was last updated on 8/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health149363-21MARYLANDNo
2363LG0600XNurse PractitionerGerontology146979-23MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
150000277MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
20373257-00MEDICAIDMINNESOTA
3R94988MEDICARE UPINMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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