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Olena Ivanova, CRNP-FAMILY
Family Nurse Practitioner in Gaithersburg, Maryland
NPI 1588253611

Olena Ivanova is a Family Nurse Practitioner based in New Market, MD and is specialized in Family. Olena Ivanova practices in Gaithersburg, MD and has the professional credentials of CRNP-FAMILY. The NPI Number for Olena Ivanova is 1588253611 and holds a License No. R206867 (Maryland).

The current practice location address for Olena Ivanova is 16220 Frederick Rd Ste 200, Gaithersburg, MD and can be reached out via phone at 301-519-2650.

Location: 16220 Frederick Rd Ste 200, Gaithersburg, MD, 21774-0525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588253611
Provider Name
Olena Ivanova
Credential
CRNP-FAMILY
Provider Entity Type
Individual
Gender
Female
Address
16220 Frederick Rd Ste 200, Gaithersburg, MD, 21774-0525
Phone Number
301-519-2650
Fax Number
Provider Enumeration Date
01/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16220 Frederick Rd Ste 200
City
Gaithersburg
State
Maryland
Zip
20877-4086
Phone Number
301-519-2650
Fax Number
person
Provider Business Mailing Address Details
Address
16220 Frederick Rd Ste 200
City
Gaithersburg
State
Maryland
Zip
20877-4086
Phone Number
301-519-2650
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R206867 (Maryland)
Definition
Definition to come...
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