Individual provider · Type 1 NPI
Oksana Petsukh
Neonatal Nurse Practitioner · New Haven, CT
NPI number
1093321234
Active
Practice location
20 York St
New Haven, CT 06510-3220
Mailing address
1193 Hope St Apt 4
Stamford, CT 06907-1634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner Primary | 363LN0000X | 9219 (CT) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1093321234
Oksana Petsukh's National Provider Identifier is 1093321234, issued on Sep 22, 2020. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in New Haven, CT. The record was last updated on Sep 29, 2020.