Ivanna Tsykhulyak
Nurse Practitioner - Primary Care
2247 E Main St Ste 103
Waterbury
, Connecticut 06705-2604
Ivanna Tsykhulyak
Nurse Practitioner - Primary Care
2247 E Main St Ste 103
Waterbury
, Connecticut 06705-2604
(347) 583-5429
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Ivanna Tsykhulyak
- 129 Oakridge
- Unionville, CT
- Zip : 06085-1475
- Phone : (347) 583-5429
Second Address
- Ivanna Tsykhulyak
- 2247 E Main St Ste 103
- Waterbury, CT
- Zip : 06705-2604
- Phone : (203) 527-7269
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Is Ivanna Tsykhulyak a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 9584 | CT |
National Provider Identifier
| NPI | 1083290423 |
|---|---|
| Provider Name | Ivanna Tsykhulyak |
| First Address | Unionville, CT 06085-1475 |
| Second Address | Waterbury, CT 06705-2604 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2021 |
| Last Update Date | 23/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.