Individual
ANDRIY OMELYASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1918 RANDOLPH RD STE 580, CHARLOTTE, NC 28207-1116
(704) 384-9900
(704) 384-9919
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9900
(704) 384-9919
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
275930
NC
363L00000X
Nurse Practitioner
Primary
5016568
NC
Other
Enumeration date
07/12/2022
Last updated
08/29/2022
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