Individual provider · Type 1 NPI

Oleg Viktor Mironchenko, DNP, APRN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Lawrence, KS

NPI number 1538964705 Active

Practice location

3320 Peterson Rd Ste 104
Lawrence, KS 66049-1739

Fax (785) 371-4519

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X5382879021 (KS)
Registered Nurse 163W00000X2024016173 (MO)

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

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About NPI 1538964705

Oleg Viktor Mironchenko, DNP, APRN, PMHNP-BC's National Provider Identifier is 1538964705, issued on Feb 13, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lawrence, KS. The record was last updated on Nov 3, 2025.