Individual provider · Type 1 NPI

Mia Yousefzadeh, RN, BSN

Registered Nurse · Lake George, NY

NPI number 1205773546 Active

Practice location

145 Equinox Rd
Lake George, NY 12845-3403

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X650992 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1205773546

Mia Yousefzadeh, RN, BSN's National Provider Identifier is 1205773546, issued on May 4, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Lake George, NY. The record was last updated on May 4, 2026.