DEBRA KAY MIKE RN, CNP
NPI 1740269927
Nurse Practitioner - Gerontology in Edina, MN

Active since January 16, 2006
3400 W 66TH STREET, SUITE 290, EDINA, MN 55435(952) 914-1727(952) 914-1727 Get Directions Write a Review

NPPES record last updated: August 11, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Debra Kay Mike Rn, Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRA KAY MIKE RN, CNP (NPI 1740269927) is an individual gerontology provider in Edina, Minnesota, licensed in Maryland (146979-23) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1740269927
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameDEBRA KAY MIKECredential: RN, CNP
Location Address3400 W 66TH STREET, SUITE 290Edina, MN 55435
Mailing Address7880 Dawn AveInver Grove Heights, MN 55076-3136 · (651) 450-5598
Fax(952) 914-1727
Sole ProprietorYes
Enumeration DateJanuary 16, 2006
Last NPPES UpdateAugust 11, 2011
NPI 1740269927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MD · 146979-23
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 149363-21 (MD)
3400 W 66TH STREET, Edina, MN 55435

Other Identifiers 3

Medicare ID-Type Unspecified50000277MN
Medicaid0373257-00MN
Medicare UPINR94988MN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Mike's NPI number?

The NPI number for Debra Mike is 1740269927. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is Debra Mike located?

Debra Mike practices at 3400 W 66th Street Suite 290, Edina, MN 55435. The listed phone number is (952) 914-1727.

What is Debra Mike's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Debra Mike was last updated on August 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.