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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MICHIYO PESTRIDGE

Active Sole Proprietor

MRS. MICHIYO PESTRIDGE is a Registered Nurse healthcare provider located in MARATHON, New York. NPI 1407048747 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · MARATHON, NY

Registration Details

NPI Number
1407048747
Provider Type
Individual
Gender
Female
NPI Issued
Aug 10, 2007 (19.039543043448 yrs)
Last Updated
Sep 6, 2013
Licenses
239691-1 (NY)
649508-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
3277 PHILLIPS RD
MARATHON, NY, 138032139
Browse NY providers · Browse ZIP 13803
Phone
6078493545
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Registered Nurse

Other Registered Nurse Providers in MARATHON, NY

Name Credential NPI
MRS. BEVERLY HELENE TAYLOR-BEISEL R.N. 1467783571
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.