Individual
MS. OKSANA GONCHARENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
715 DR MARTIN LUTHER KING JR AVE NE STE 301, ALBUQUERQUE, NM 87102-3668
(505) 727-7090
(505) 727-9590
Mailing address
4101 INDIAN SCHOOL RD NE STE 110, ALBUQUERQUE, NM 87110-3991
(505) 727-5174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
751635
NY
163W00000X
Registered Nurse
86584
NM
363LG0600X
Gerontology Nurse Practitioner
Primary
86584
NM
Other
Enumeration date
06/04/2025
Last updated
03/17/2026
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