Individual provider · Type 1 NPI
Khrystyna Antonova, NP
Nurse Practitioner · Plymouth, MN
Practice location
15552 57th Pl N
Plymouth, MN 55446-3737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 7317 (MN) |
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 1033877378
Khrystyna Antonova, NP's National Provider Identifier is 1033877378, issued on Dec 3, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Plymouth, MN. The record was last updated on Dec 3, 2021.