Provider Demographics
NPI:1376755033
Name:FREISHYN-CHIROVSKY, HALYNA LUBOV (RN, BSN, BED)
Entity Type:Individual
Prefix:
First Name:HALYNA
Middle Name:LUBOV
Last Name:FREISHYN-CHIROVSKY
Suffix:
Gender:F
Credentials:RN, BSN, BED
Other - Prefix:
Other - First Name:HALYNA
Other - Middle Name:L
Other - Last Name:CHIROVSKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1135 E BALBOA DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-3906
Mailing Address - Country:US
Mailing Address - Phone:480-736-0202
Mailing Address - Fax:480-736-0202
Practice Address - Street 1:3205 S RURAL RD
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-3853
Practice Address - Country:US
Practice Address - Phone:480-929-9909
Practice Address - Fax:480-804-0384
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN119919163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ750621OtherAHCCCS