Individual provider · Type 1 NPI

Maksim Blidchenko, ARNP

Nurse Practitioner · Des Moines, IA

NPI number 1013559178 Active

Practice location

411 Laurel St Ste A250
Des Moines, IA 50314-3029

Fax (515) 288-6713

Mailing address

PO Box 9170
Des Moines, IA 50306-9170

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XA156720 (IA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013559178

Maksim Blidchenko, ARNP's National Provider Identifier is 1013559178, issued on Oct 10, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Des Moines, IA. The record was last updated on Oct 10, 2019.