Individual
NICOLE S BURKETTE IKEBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
2355 HIGHWAY 36 W STE 400, ROSEVILLE, MN 55113-3905
(651) 243-8113
(931) 202-8451
Mailing address
2355 HIGHWAY 36 W STE 400, ROSEVILLE, MN 55113-3905
(651) 243-8113
(931) 202-8451
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
66384
MN
2084P0800X
Psychiatry Physician
DR.0076759
CO
2084P0800X
Psychiatry Physician
MD-55795
IA
Other
Enumeration date
03/18/2016
Last updated
01/02/2026
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