Individual provider · Type 1 NPI

Maryanna Gusenkov

Nurse Practitioner · Orange, CA

NPI number 1720439730 Active · reactivated Jan 9, 2025

Practice location

101 The City Dr S
Orange, CA 92868-3201

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95032261 (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…

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About NPI 1720439730

Maryanna Gusenkov's National Provider Identifier is 1720439730, issued on Jun 30, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orange, CA. The record was last updated on Dec 18, 2025.