Individual
IVAN DZYUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
5900 COYLE AVE STE A, CARMICHAEL, CA 95608-0400
(916) 330-4447
(916) 414-9054
Mailing address
5900 COYLE AVE STE A, CARMICHAEL, CA 95608-0400
(916) 330-4447
(916) 414-9054
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95032393
CA
Other
Enumeration date
01/06/2025
Last updated
08/25/2025
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