Individual
MAYA MISIKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, OTR, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
349627
NC
163WL0100X
Lactation Consultant (Registered Nurse)
L-322666
TX
225XP0200X
Pediatric Occupational Therapist
Primary
15534
NC
Other
Enumeration date
11/15/2022
Last updated
06/30/2026
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