Individual provider · Type 1 NPI

Irina Seliverstov, N.P.

Nurse Practitioner · Lynn, MA

NPI number 1386646099 Active

Practice location

34 State St
Lynn, MA 01901-1505

Fax (781) 599-3229

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X218125 (MD)

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 1386646099

Irina Seliverstov, N.P.'s National Provider Identifier is 1386646099, issued on Aug 12, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lynn, MA. The record was last updated on Jul 13, 2026.