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Tara Mikenas

NPI 1265386460 · on the registry since 2026

Practice

Address
4130 Blackhawk Rd # Id
Saint Paul, MN 55122
Phone
(651) 381-1536

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota