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Mr. Vladislav Melnichenko, NP
Adult Health Nurse Practitioner in Anaheim, California
NPI 1528348273

Vladislav Melnichenko is an Adult Health Nurse Practitioner based in Pasadena, CA and is specialized in Adult Health. Vladislav Melnichenko practices in Anaheim, CA and has the professional credentials of NP. The NPI Number for Vladislav Melnichenko is 1528348273 and holds a License No. NP21140 (California).

The current practice location address for Vladislav Melnichenko is 1711 W Katella Ave, Anaheim, CA and can be reached out via phone at 714-400-2959.

Location: 1711 W Katella Ave, Anaheim, CA, 91105-2665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528348273
Provider Name
Vladislav Melnichenko
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1711 W Katella Ave, Anaheim, CA, 91105-2665
Phone Number
714-400-2959
Fax Number
Provider Enumeration Date
08/25/2011
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
HE356A 01 CA NORTHERN MCAR PIN
institution
Provider Business Practice Location Address Details
Address
1711 W Katella Ave
City
Anaheim
State
California
Zip
92804-6450
Phone Number
714-400-2959
Fax Number
person
Provider Business Mailing Address Details
Address
1711 W Katella Ave
City
Anaheim
State
California
Zip
92804-6450
Phone Number
714-400-2959
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
NP21140 (California)
Definition
Definition to come...
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