Individual provider · Type 1 NPI
Michael Sanavonxay, RN BSN
Psychiatric/Mental Health Registered Nurse · Syracuse, NY
NPI number
1396558268
Active
Practice location
620 Madison St
Syracuse, NY 13210-2319
Mailing address
706 Stinard Ave
Syracuse, NY 13207-1508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 961451 (NY) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1396558268
Michael Sanavonxay, RN BSN's National Provider Identifier is 1396558268, issued on Jan 27, 2025. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Syracuse, NY. The record was last updated on Jan 27, 2025.