Ruslana Shargorodskaya
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
30 Prospect Ave
Hackensack
, New Jersey 07601-1915
Ruslana Shargorodskaya
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
30 Prospect Ave
Hackensack
, New Jersey 07601-1915
(551) 996-0377
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Ruslana Shargorodskaya
- 30 Prospect Ave
- Hackensack, NJ
- Zip : 07601-1915
- Fax : (551) 996-0377
- Phone : (551) 996-1621
Second Address
- Ruslana Shargorodskaya
- 30 Prospect Ave
- Hackensack, NJ
- Zip : 07601-1915
- Fax : (551) 996-0377
- Phone : (551) 996-1621
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FAQs
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Is Ruslana Shargorodskaya a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ01200000 | NJ |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 26NJ01200000 | NJ |
National Provider Identifier
| NPI | 1013301589 |
|---|---|
| Provider Name | Ruslana Shargorodskaya |
| First Address | Hackensack, NJ 07601-1915 |
| Second Address | Hackensack, NJ 07601-1915 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2015 |
| Last Update Date | 07/01/2022 |
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.