Provider Demographics
NPI:1801688718
Name:HEILICH, MIKAYLA (RN, BSN, CCRN)
Entity type:Individual
Prefix:
First Name:MIKAYLA
Middle Name:
Last Name:HEILICH
Suffix:
Gender:F
Credentials:RN, BSN, CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6949 ZAHARIAS CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-5525
Mailing Address - Country:US
Mailing Address - Phone:314-403-5670
Mailing Address - Fax:
Practice Address - Street 1:6949 ZAHARIAS CT
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-5525
Practice Address - Country:US
Practice Address - Phone:314-403-5670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program