Provider Demographics
NPI:1326378837
Name:XIKIS, MICHELE LYNN (RN, MSN ANP-C)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:LYNN
Last Name:XIKIS
Suffix:
Gender:F
Credentials:RN, MSN ANP-C
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Mailing Address - Street 1:UMC AT STONY BRK
Mailing Address - Street 2:HSCT 16-080
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-0001
Mailing Address - Country:US
Mailing Address - Phone:631-444-3575
Mailing Address - Fax:
Practice Address - Street 1:UMC AT STONY BRK
Practice Address - Street 2:HSCT 16-080
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-444-3575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY30 304079363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health