Individual provider · Type 1 NPI

Mariya Tkachenko, CNP

Family Nurse Practitioner · Shakopee, MN

NPI number 1295565679 Active

Practice location

1415 Saint Francis Ave
Shakopee, MN 55379-3374

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X11902 (MN)
Family Nurse Practitioner Primary 363LF0000X11902 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1295565679

Mariya Tkachenko, CNP's National Provider Identifier is 1295565679, issued on Aug 1, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shakopee, MN. The record was last updated on Sep 9, 2024.