Healthcare Provider Details

I. General information

NPI: 1205731304
Provider Name (Legal Business Name): MARSHA LYNN PIKE DNP, APRN, ACCNS-P
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 1ST ST SW
ROCHESTER MN
55905-0002
US

IV. Provider business mailing address

4490 29TH ST SE
ROCHESTER MN
55904-2745
US

V. Phone/Fax

Practice location:
  • Phone: 507-266-4437
  • Fax:
Mailing address:
  • Phone: 507-269-5238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0200X
TaxonomyPediatric Clinical Nurse Specialist
License NumberMNR1676093
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: