# SITORA N MIRSOATOVA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1881059178
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | F431844 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 26NJ01480600 | NJ | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F404736 | NY | — |

## Other

- **Enumeration date:** 12/31/2015
- **Last updated:** 02/14/2024