National Provider Identifier

Mikka C Gates, RN

Mikka C Gates, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Canandaigua, NY and a listed phone number of (585) 430-2515.

NPI 1508138611Canandaigua, NYRegistered Nurse

Profile Overview

NPI
1508138611
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
February 04, 2012
Last Updated
August 31, 2023

Practice Location

  • 4573 Mayflower Dr
  • Canandaigua, NY 14424-9744

Phone: (585) 430-2515

Mailing Address

  • 14 Erie St N
  • Apt A
  • Macedon, NY 14502-8827

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1508138611
Entity Type
Individual
Last Name
Gates
First Name
Mikka
Middle Name
C
Credential
RN
Mailing Street Address
14 Erie St N
Mailing Address Line 2
Apt A
Mailing City
Macedon
Mailing State
NY
Mailing ZIP Code
14502-8827
Mailing Country
US
Mailing Phone
(315) 879-2171
Practice Street Address
4573 Mayflower Dr
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-9744
Practice Country
US
Practice Phone
(585) 430-2515
Enumeration Date
February 04, 2012
Last Updated
August 31, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
August 31, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)