Individual provider · Type 1 NPI
Sanetta Sara Mordukhayev
Family Nurse Practitioner · Flushing, NY
NPI number
1912839135
Active
Practice location
14436 68th Ave
Flushing, NY 11367-1327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 359798 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1912839135
Sanetta Sara Mordukhayev's National Provider Identifier is 1912839135, issued on Jun 1, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Flushing, NY. The record was last updated on Jun 1, 2026.