Provider Demographics
NPI:1982213765
Name:SZEINUK, MICHAELA LYNNE (PA-C)
Entity type:Individual
Prefix:
First Name:MICHAELA
Middle Name:LYNNE
Last Name:SZEINUK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:MICHAELA
Other - Middle Name:LYNNE
Other - Last Name:MCBRIDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:9541 KINGS PARADE BLVD UNIT 107
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-5819
Mailing Address - Country:US
Mailing Address - Phone:845-649-2336
Mailing Address - Fax:
Practice Address - Street 1:9541 KINGS PARADE BLVD UNIT 107
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-5819
Practice Address - Country:US
Practice Address - Phone:845-649-2336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363AM0700X
NC0010-10425363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical