Individual
MIKHAIL P SHKIRYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2572
(319) 356-4505
Mailing address
916 E WASHINGTON ST, KNOXVILLE, IA 50138-1948
(641) 204-9752
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A130813
IA
363L00000X
Nurse Practitioner
F07181382
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130813
IOWA BOARD OF NURSING
IA
Enumeration date
07/17/2018
Last updated
09/13/2021
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