Individual
MR. TARAS A GRINCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, MPH, RN
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
PO BOX 32861, CHARLOTTE, NC 28232-2861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
323928
NC
363L00000X
Nurse Practitioner
Primary
5023072
NC
Other
Enumeration date
06/24/2025
Last updated
09/21/2025
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