Mirela Subasic, FNP
Nurse Practitioner in Liverpool, NY. Individual provider (NPI-1).
NPI number1124752175
StatusActive
Last updated in NPPESJul 14, 2022
Details
- NPI
- 1124752175
- Entity type
- Individual (NPI-1)
- Name
- Mirela Subasic
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2022
- Certification date
- Jul 14, 2022
- Last updated
- Jul 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | F349648-01 | NY | Yes |
Practice location
7375 Oswego RdLiverpool, NY 13090-3717
Phone 315-291-0064
Mailing address
7375 Oswego RdLiverpool, NY 13090-3717
Phone 315-807-5993
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