Provider Demographics
NPI:1184422537
Name:MYERS, MIKAYLA J
Entity type:Individual
Prefix:
First Name:MIKAYLA
Middle Name:J
Last Name:MYERS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7474 LAKEVIEW CT # 1-308
Mailing Address - Street 2:
Mailing Address - City:RALSTON
Mailing Address - State:NE
Mailing Address - Zip Code:68127-2827
Mailing Address - Country:US
Mailing Address - Phone:507-822-6655
Mailing Address - Fax:
Practice Address - Street 1:9808 HAZELTINE AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136-1535
Practice Address - Country:US
Practice Address - Phone:402-203-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health