Mrs. Yewande Temitope Mikoku, NURSEPRACTITIONER
Mrs. Yewande Temitope Mikoku, NURSEPRACTITIONER is a Nurse Practitioner in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
27 Dixon AveStaten Island, NY 10302-1938
Phone: (917) 841-6757
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Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 403469 (NY) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 559805-1 (NY) |
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence 403469 (NY) |
Record details
| NPI number | 1508079294 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | Yes |
| NPI enumerated | May 8, 2007 |
| Last updated in NPPES | November 25, 2022 |
| Certification date | November 25, 2022 |
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