Whalio Doctors

NPI 1194289389

Shanna Miko, MSNRNBCCPNCCRN

Practitioner Pediatric Registered Nurse Plymouth, MN

Practice location

Address
4655 Yellowstone Ln N, Plymouth, MN 55446-3764
Phone
(314) 680-5592

Registered specialties

Pediatric Registered Nurse Primary
Nursing Service Providers Taxonomy 163WP0200X Licence R2023506 (MN)

Registry record

NPI
1194289389
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Jan 2019
Record last updated
22 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.