Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shanna Miko, MSNRN-BCCPNCCRN

Individual provider Pediatric Registered Nurse · NPI 1194289389

Shanna Miko, MSNRN-BCCPNCCRN is a Pediatric Registered Nurse in Plymouth, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2019

Practice location Address checks out

4655 Yellowstone Ln N
Plymouth, MN 55446-3764
Phone: (314) 680-5592
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Registered Nurse (primary) Taxonomy 163WP0200X · Licence R2023506 (MN)

Record details

NPI number1194289389
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNRN-BCCPNCCRN
Sole proprietorYes
NPI enumeratedJanuary 22, 2019
Last updated in NPPESJanuary 22, 2019

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