Individual provider · Type 1 NPI

Ivan Dzyuba, FNP

Nurse Practitioner · Carmichael, CA

NPI number 1508675216 Active

Practice location

5900 Coyle Ave Ste A
Carmichael, CA 95608-0400

Fax (916) 414-9054

Other practice locations

  • 7517 La Tour Dr, Sacramento, CA 95842-1546 · (916) 216-1876

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95032393 (CA)

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…

13 other providers at this address

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About NPI 1508675216

Ivan Dzyuba, FNP's National Provider Identifier is 1508675216, issued on Jan 6, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Carmichael, CA. The record was last updated on Aug 25, 2025.