KHRYSTYNA ANTONOVA NP
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1033877378- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP
- Status
- Active
Contact & Location
- Address
- 15552 57TH PL N, PLYMOUTH, MN, 554463737
- Phone
- (612) 481-1842
Specialties & Taxonomies
Nurse Practitioner
Primary License: MN #7317