Organization
RESTFUL MIND MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY TVERSKOY APRN (OWNER)
(908) 548-3600
Entity
Organization
Contact information
Practice address
522 W RIVERSIDE AVE STE 4830, SPOKANE, WA 99201-0580
(908) 548-3600
Mailing address
5130 TRUMPET VINE WAY, WILMINGTON, NC 28412-6263
(908) 548-3600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP61235380
LICENSE
WA
Enumeration date
08/09/2022
Last updated
08/22/2022
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