Individual provider · Type 1 NPI
Vyacheslav Pastukh, APN
Gerontology Nurse Practitioner · Vineland, NJ
NPI number
1457968182
Active
Practice location
1100 E Chestnut Ave
Vineland, NJ 08360-5002
Mailing address
1882 Wynnewood Dr
Vineland, NJ 08361-6771
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 26NJ01055900 (NJ) |
Gerontology Nurse Practitioner: Definition to come...
5 other providers at this address
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- Narasimhaloo Venugopal, MDInternal Medicine Physician Vineland, NJ NPI 1093883316
- Vinay Gopal Nakhate, MDInternal Medicine Physician Vineland, NJ NPI 1386767697
Other gerontology nurse practitioner providers in Vineland
About NPI 1457968182
Vyacheslav Pastukh, APN's National Provider Identifier is 1457968182, issued on Sep 27, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Vineland, NJ. The record was last updated on Sep 27, 2020.