Oleksandra Myronenko, PA-C
Physician Assistant in Revere, Massachusetts
1992521546- Practice location
- 454 Broadway, Revere, MA 02151-3034
- Phone
- 781-485-8222
- Fax
- —
- Last updated
- February 20, 2026
Oleksandra Myronenko is a Physician Assistant based in Revere, MA. Oleksandra Myronenko practices in Revere, MA and has the professional credentials of PA-C. The NPI Number for Oleksandra Myronenko is 1992521546 and holds a License No. PA102347 (MA). The current practice location address for Oleksandra Myronenko is 454 Broadway, Revere, MA 02151-3034 and can be reached out via phone at 781-485-8222.
Provider Profile Details
- NPI Number
- 1992521546
- Provider Name
- Oleksandra Myronenko
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 454 Broadway, Revere, MA 02151-3034
- Phone Number
- 781-485-8222
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 27, 2024
- Last Update Date
- February 20, 2026
- Certification Date
- February 20, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 454 Broadway
Revere, MA 02151-3034 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-3034
- Phone Number
- 781-485-8222
Provider Business Mailing Address Details
- Address
- 454 Broadway
Revere, MA 02151-3034 - City
- Revere
- State
- MA
- Zip
- 02151-3034
- Phone Number
- 781-485-8250
- Fax Number
- 781-485-8220
License Information
- License Number
- PA102347
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Revere, MA
View all Physician Assistants in Revere →- Andy D Pham, PAPhysician Assistant · NPI 1790418044
- Arleigh Goodwin, PA-CPhysician Assistant · NPI 1508207812
- Bianca M May FreitasPhysician Assistant · NPI 1376441576
- Jessica N SoutherPhysician Assistant · NPI 1669306791
- Meghan E Wilson, PA-CPhysician Assistant · NPI 1023940566
- Nicole I LovePhysician Assistant · NPI 1144866427
Frequently Asked Questions
What is the NPI number of Oleksandra Myronenko, PA-C?
The NPI number of Oleksandra Myronenko, PA-C is 1992521546. It was assigned on November 27, 2024 and is currently active in the NPPES registry.
What is the specialty of Oleksandra Myronenko, PA-C?
Oleksandra Myronenko, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA102347.
Where does Oleksandra Myronenko, PA-C practice?
The practice location is 454 Broadway, Revere, MA 02151-3034. The office can be reached at 781-485-8222 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992521546 directly on the NPPES registry website.