Individual provider · Type 1 NPI
Andriy Omelyash
Nurse Practitioner · Charlotte, NC
Practice location
1918 Randolph Rd Ste 580
Charlotte, NC 28207-1116
Fax (704) 384-9919
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice locations
- 200 Hawthorne Ln, Charlotte, NC 28204-2515 · (704) 384-4121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 275930 (NC) |
| Nurse Practitioner Primary | 363L00000X | 5016568 (NC) |
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 1679207161
Andriy Omelyash's National Provider Identifier is 1679207161, issued on Jul 12, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Aug 29, 2022.