Individual provider · Type 1 NPI
Anastasiya Havrylyan
Nurse Practitioner · Park Ridge, IL
Practice location
1875 Dempster St Ste 625
Park Ridge, IL 60068-1137
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209020039 (IL) |
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 1942893607
Anastasiya Havrylyan's National Provider Identifier is 1942893607, issued on Feb 14, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Park Ridge, IL. The record was last updated on Apr 6, 2026.