Individual provider · Type 1 NPI
Viktoriya V. Ivantsova, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Ballwin, MO
NPI number
1689497877
Active
Practice location
930 Kehrs Mill Rd
Ballwin, MO 63011-2462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2024044289 (MO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Ballwin
About NPI 1689497877
Viktoriya V. Ivantsova, PMHNP-BC's National Provider Identifier is 1689497877, issued on Nov 5, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ballwin, MO. The record was last updated on Sep 11, 2026.