MEDICARE: SIKIRA MUKAILA

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11028297	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN.CNP.0034712	OH
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R216351	MD
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	71016208A	IN
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024184392	VA

General Provider Information

NPI Number	:	1386375814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIKIRA MUKAILA

Provider Business Mailing Address
First Line	:	2621 E JEFFERSON ST
Second Line	:
City	:	WARSAW
State	:	IN
Zip	:	46580-3880
Country	:	US
Telephone Number	:	574-267-7169
Fax Number	:	574-269-4189

Provider Business Practice Location Address
First Line	:	201 E RUDISILL BLVD STE 106
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46806-1756
Country	:	US
Telephone Number	:	888-470-0082
Fax Number	:	888-251-8293

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2022
Last Update Date	:	12/09/2025

Similar Medicare Providers

1316809957 — ABBY ANDERSON
Practice Location Address:

201 E RUDISILL BLVD STE 10
FORT WAYNE, IN
46806-1756

Practice Phone: 260-255-3665
Practice Fax:

1669939864 — KRISTEN MACY
Practice Location Address:

201 E RUDISILL BLVD STE 301
FORT WAYNE, IN
46806-1756

Practice Phone: 260-348-9887
Practice Fax:

1083388151 — CASSIUS STALLINGS
Practice Location Address:

201 E RUDISILL BLVD STE 100
FORT WAYNE, IN
46806-1756

Practice Phone: 260-255-3665
Practice Fax:

1396490256 — BUILDING A STRONGER FAMILY
Practice Location Address:

201 E RUDISILL BLVD STE B102
FORT WAYNE, IN
46806-1756

Practice Phone: 260-797-5892
Practice Fax:

1730838947 — KENNETH HILLIARD
Practice Location Address:

201 E RUDISILL BLVD STE B102
FORT WAYNE, IN
46806-1756

Practice Phone: 126-079-7589
Practice Fax:

1285366054 — RONAE CLELAND CLS
Practice Location Address:

201 E RUDISILL BLVD STE 102B
FORT WAYNE, IN
46806-1756

Practice Phone: 906-366-0347
Practice Fax:

Directions to “ SIKIRA MUKAILA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.