Mikoku, Yewande Temitope

Mikoku, Yewande Temitope is an sole proprietor health care provider with primary practice located at 27 Dixon Ave , Staten Island NY 10302-1938. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mikoku, Yewande Temitope can be contacted via phone (917) 841-6757.

Contact Information

Primary practice address
27 Dixon Ave Staten Island NY 10302-1938
Phone: (917) 841-6757
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 403469 New York
Nursing Service Providers / Registered Nurse 163W00000X 559805-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 403469 New York

Profile Details

NPI number 1508079294
LBN Legal business name Mikoku, Yewande Temitope
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Nov 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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