person
Renat Kudyakov
Nurse Practitioner in Dallas, Texas
NPI 1578912325

Renat Kudyakov is a Nurse Practitioner based in Dallas, TX. Renat Kudyakov practices in Dallas, TX. The NPI Number for Renat Kudyakov is 1578912325 and holds a License No. 340648 (Texas).

The current practice location address for Renat Kudyakov is 7777 Forest Ln Ste B446, Dallas, TX and can be reached out via phone at 972-566-8822 and via fax at 972-566-8861.

Location: 7777 Forest Ln Ste B446, Dallas, TX, 75230-5647
person
Provider Profile Details
NPI Number
1578912325
Provider Name
Renat Kudyakov
Credential
Provider Entity Type
Individual
Gender
Male
Address
7777 Forest Ln Ste B446, Dallas, TX, 75230-5647
Phone Number
972-566-8822
Fax Number
972-566-8861
Provider Enumeration Date
06/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7777 Forest Ln Ste B446
City
State
Zip
75230-5647
Phone Number
972-566-8822
Fax Number
972-566-8861
person
Provider Business Mailing Address Details
Address
7777 Forest Ln Ste B446
City
State
Zip
75230-5647
Phone Number
972-566-8822
Fax Number
972-566-8861
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
AP137445 (Texas)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
340648 (New York)
Definition
Definition to come...
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