Provider Demographics
NPI:1083190789
Name:ADAMCHEVSKA, VITALINA (APRN)
Entity Type:Individual
Prefix:
First Name:VITALINA
Middle Name:
Last Name:ADAMCHEVSKA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5409 MOLISE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-7101
Mailing Address - Country:US
Mailing Address - Phone:702-881-0049
Mailing Address - Fax:702-489-2099
Practice Address - Street 1:6900 SCENIC DR STE 102
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-2695
Practice Address - Country:US
Practice Address - Phone:972-463-2001
Practice Address - Fax:972-463-2003
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV811112363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care