Individual provider · Type 1 NPI
Mirena Khaimova
Family Nurse Practitioner · Staten Island, NY
NPI number
1447877592
Active
Practice location
302 Getz Ave
Staten Island, NY 10312-2433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F342807-1 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1447877592
Mirena Khaimova's National Provider Identifier is 1447877592, issued on Jul 5, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 5, 2020.