Provider Demographics
NPI:1467728758
Name:MUZYKA, NATALYA IVANIVNA (AAS)
Entity Type:Individual
Prefix:
First Name:NATALYA
Middle Name:IVANIVNA
Last Name:MUZYKA
Suffix:
Gender:F
Credentials:AAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 S ANITA DR STE 104
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3335
Mailing Address - Country:US
Mailing Address - Phone:714-410-3510
Mailing Address - Fax:
Practice Address - Street 1:265 S ANITA DR STE 104
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3335
Practice Address - Country:US
Practice Address - Phone:714-410-3510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN95229007163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent