Individual
IRYNA VASYUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(201) 264-3481
Mailing address
7 OLD CHIMNEY RD, UPPER SADDLE RIVER, NJ 07458-1508
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00174500
NJ
363LF0000X
Family Nurse Practitioner
Primary
F335578-01
NY
Other
Enumeration date
11/04/2008
Last updated
06/30/2020
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