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MYRA MIKE CPNP-PC
NPI 1982095006
Nurse Practitioner - Pediatrics in Phoenix, AZ

Active since February 11, 2015
PIMC, 4212 N 16TH STREET, PHOENIX, AZ 85016(602) 263-1200 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 24, 2018, Aug 7, 2017 (2 updates tracked since 2017).

About Myra Mike Cpnp-pc NPPES

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

MYRA MIKE CPNP-PC (NPI 1982095006) is an individual pediatrics provider in Phoenix, Arizona, licensed in New Mexico (CNP-03332) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1982095006
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMYRA MIKECredential: CPNP-PC
Location AddressPIMC, 4212 N 16TH STREETPhoenix, AZ 85016-5319
Mailing AddressPimc-pnc P O Box 31001-0698Pasadena, CA 91110-0698
Phone(602) 263-1200
Sole ProprietorNo
Enumeration DateFebruary 11, 2015
Last NPPES UpdateApril 24, 20182 updates tracked since enumeration
✔ NPI 1982095006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NM · CNP-03332
Also ListedRegistered NurseTaxonomy 163W00000X · License R49291 (NM)
PIMC, Phoenix, AZ 85016
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SARAH LEONE LCSW
Social Worker (Clinical)
PIMC, 4212 N. 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
DALE LEONARD MCGEE M.D.
Emergency Medicine
PIMC, 4212 NORTH 16TH STREET
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
MRS. NADINE RAE BROWN RDH
Dental Hygienist
PIMC, 4212 N. 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
TONYA MCCLELLAN FNP-C
Nurse Practitioner (Family)
PIMC, 4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200

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 Myra Mike's NPI number?

The NPI number for Myra Mike is 1982095006. It was assigned to this individual provider in the NPPES registry on February 11, 2015.

Where is Myra Mike located?

Myra Mike practices at Pimc 4212 N 16th Street, Phoenix, AZ 85016. The listed phone number is (602) 263-1200.

What is Myra Mike's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Myra Mike was last updated on April 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.