Provider Demographics
NPI:1235936741
Name:MIKHAYLOVA, DANIELA SARAH (FNP)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:SARAH
Last Name:MIKHAYLOVA
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7362 189TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1850
Mailing Address - Country:US
Mailing Address - Phone:646-327-6664
Mailing Address - Fax:
Practice Address - Street 1:7362 189TH ST
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1850
Practice Address - Country:US
Practice Address - Phone:646-327-6664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY356087363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily