P Praxis·MD
● Active Type 1 · Individual

MS. Debra Colleen Mykkanen, FNP

Nurse Practitioner·Coeur D Alene, ID· NPI 1548346935 · Enumerated 2006 · 19 years on NPI
Mykkanen is 1 of 79 nurse practitioner providers in Coeur D Alene and 1 of 1280 in Idaho.
NPI age
19 years
Enumerated 2006-10-27
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-12-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
700 W Ironwood Dr, Suite 155
Coeur D Alene, ID 838142656
📞 2086670585fax 2086670876
Mailing address
700 W Ironwood Dr, Suite 155
Coeur D Alene, ID 838142656
📞 2086670585fax 2086670876

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #NP306A taxonomy 363LF0000X

Identifiers

TypeValueNotes
05 (MT) 1548346935
01 (ID) 000010016720 REGENCE BLUE SHIELD
01 (ID) 000010016721 REGENCE BLUE SHIELD
05 (ID) 004376300
05 (WA) 9645896
01 (ID) NPPR4 BLUE CROSS OF IDAHO
05 (AK) NP772ID
01 (ID) NPKN7 BLUE CROSS

Practice context

Part of a multi-provider practice. 65 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Coeur D Alene in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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