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NPI Code Detail

MEDICARE: MIKAYLA SHIELDS

MEDICARE: MIKAYLA SHIELDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1447192612
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKAYLA SHIELDS
Provider Business Mailing Address
First Line : 4800 FRIENDSHIP AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15224-1793
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4800 FRIENDSHIP AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15224-1793
Country : US
Telephone Number : 412-578-5587
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ MIKAYLA SHIELDS ” Practice Location

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