Individual provider · Type 1 NPI
Dmitriy Tretiak, NP
Acute Care Nurse Practitioner · Tarzana, CA
NPI number
1861993412
Active
Practice location
6047 Tampa Ave Ste 301
Tarzana, CA 91356-1182
Mailing address
11539 Santini Ln
Porter Ranch, CA 91326-4421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95008578 (CA) |
Acute Care Nurse Practitioner: Definition to come...
Other acute care nurse practitioner providers in Tarzana
About NPI 1861993412
Dmitriy Tretiak, NP's National Provider Identifier is 1861993412, issued on Feb 27, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Tarzana, CA. The record was last updated on May 18, 2026.