Antonova, Khrystyna

Antonova, Khrystyna is an sole proprietor health care provider with primary practice located at 15552 57Th Pl N , Plymouth MN 55446-3737. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Antonova, Khrystyna can be contacted via phone (612) 481-1842.

Contact Information

Primary practice address
15552 57Th Pl N Plymouth MN 55446-3737
Phone: (612) 481-1842
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7317 Minnesota

Profile Details

NPI number 1033877378
LBN Legal business name Antonova, Khrystyna
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2021
Last updated Dec 3rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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