Provider Demographics
NPI:1588040497
Name:MOKRIY, KHRYSTYNA (FNP-BC)
Entity type:Individual
Prefix:MISS
First Name:KHRYSTYNA
Middle Name:
Last Name:MOKRIY
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2229 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:MECHANICVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12118-3021
Mailing Address - Country:US
Mailing Address - Phone:440-390-9793
Mailing Address - Fax:
Practice Address - Street 1:2229 ROUTE 9
Practice Address - Street 2:
Practice Address - City:MECHANICVILLE
Practice Address - State:NY
Practice Address - Zip Code:12118-3021
Practice Address - Country:US
Practice Address - Phone:440-390-9793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-03
Last Update Date:2025-03-25
Deactivation Date:2023-06-20
Deactivation Code:
Reactivation Date:2025-03-10
Provider Licenses
StateLicense IDTaxonomies
NYF355819-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily