Individual provider · Type 1 NPI

Aleksandr Anatolyevich Kasyanchuk

Psychiatric/Mental Health Nurse Practitioner · Port Orchard, WA

NPI number 1124805031 Active

Practice location

320 S Kitsap Blvd
Port Orchard, WA 98366-3778

Mailing address

14134 110th Ave NE
Kirkland, WA 98034-4480

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP61482837 (WA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1124805031

Aleksandr Anatolyevich Kasyanchuk's National Provider Identifier is 1124805031, issued on Sep 13, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Port Orchard, WA. The record was last updated on Sep 13, 2023.