Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mirena Khaimova

Individual provider Family Nurse Practitioner · NPI 1447877592

Mirena Khaimova is a Family Nurse Practitioner in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

302 Getz Ave
Staten Island, NY 10312-2433
Phone: (917) 833-7391
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F342807-1 (NY)

Record details

NPI number1447877592
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 5, 2020
Last updated in NPPESJuly 5, 2020
Certification dateJuly 5, 2020

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