MRS. YVETTE MICHELLE MIKE


Address: 107 Gaynor Ave, Syracuse, NY 13206-2024
Phone: 3154147672

MRS. YVETTE MICHELLE MIKE (NPI# 1295169894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295169894
Entity Type Individual
Full Name MRS. YVETTE MICHELLE MIKE
Credential REGISTERED NURSE
Practice Address 107 Gaynor Ave
Syracuse
NY 13206-2024
Practice Telephone 3154147672
Mailing Telephone 3154147672
Enumeration Date 2013-08-30
Last Update Date 2013-08-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WR0400X Registered Nurse
Specialization: Rehabilitation
421972 NY Nursing Service Providers
Y 163WW0000X Registered Nurse
Specialization: Wound Care
421972 NY Nursing Service Providers
N 163WX0106X Registered Nurse
Specialization: Occupational Health
421972 NY Nursing Service Providers

Office Location

Street Address 107 GAYNOR AVE
City SYRACUSE
State NY
Zip Code 13206-2024

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Taxonomy Information

Taxonomy Code 163WW0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Wound Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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1144686338 Cassandra Sage Bluff Registered Nurse 29 East Oneida St, Elden Elementary Health Office, Baldwinsville, NY 13027 2016-01-05
1396188223 Lisa E Jones-koliski Registered Nurse 262 N Titmus Dr, Mastic, NY 11950-1522 2013-04-10
1255672259 Setlidz Saint-louis Registered Nurse 29 Stratford N, Roslyn Heights, NY 11577-2315 2013-03-15
1255609384 Ayanna Miles Registered Nurse 8 Pembrooke Ct, Bay Shore, NY 11706-5013 2011-12-04
1679804751 Frances Ferrari Registered Nurse 442 Adams Ave, Staten Island, NY 10306-5423 2010-01-29
1619108065 John Batson Registered Nurse 346 Martha Ave, Buffalo, NY 14215-2904 2009-08-03
1295962041 Trinidad Delacruz Agtarap Registered Nurse 7116 34th Ave Apt 2a, Jackson Heights, NY 11372-1016 2009-06-19
1790950178 Gail A. Sloat Registered Nurse 694 Granite Rd, Kerhonkson, NY 12446-3415 2008-04-25
1114933421 Lisa Wallin Registered Nurse 160 Sawgrass Dr Ste 130, Rochester, NY 14620-4655 2006-07-31
1649808015 Jennifer Elizabeth Voorhees Registered Nurse 23 Church St, Honeoye, NY 14471-9310 2020-03-31
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Competitor

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City SYRACUSE
Zip Code 13206

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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