Mike, Myra

Mike, Myra is an individual health care provider with primary practice located at Pimc 4212 N 16Th Street, Phoenix AZ 85016-5319. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Mike, Myra can be contacted via phone (602) 263-1200.

Contact Information

Primary practice address
Pimc 4212 N 16Th Street Phoenix AZ 85016-5319
Phone: (602) 263-1200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R49291 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X CNP-03332 New Mexico

Profile Details

NPI number 1982095006
LBN Legal business name Mike, Myra
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2015
Last updated Apr 24th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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