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

Mrs. Michiyo Pestridge

Individual provider Licensed Practical Nurse · NPI 1407048747

Mrs. Michiyo Pestridge is a Licensed Practical Nurse in Marathon, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
Specialties on file
2

Practice location Address checks out

3277 Phillips Rd
Marathon, NY 13803-2139
Phone: (607) 849-3545
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 649508-1 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 239691-1 (NY)

Record details

NPI number1407048747
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 10, 2007
Last updated in NPPESSeptember 6, 2013

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