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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNA MIKO, MSN RN-BC CPN CCRN

Active Sole Proprietor

SHANNA MIKO, MSN RN-BC CPN CCRN is a Pediatric Nurse healthcare provider located in PLYMOUTH, Minnesota. NPI 1194289389 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse · PLYMOUTH, MN

Registration Details

NPI Number
1194289389
Provider Type
Individual
Gender
Female
NPI Issued
Jan 22, 2019 (7.5704085588745 yrs)
Last Updated
Jan 22, 2019
License
R2023506 (MN)
Sole Proprietor
Yes

Practice Information

Address
4655 YELLOWSTONE LN N
PLYMOUTH, MN, 554463764
Browse MN providers · Browse ZIP 55446
Phone
3146805592
Primary Specialty
Pediatric Nurse
163WP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.