Provider Demographics
NPI:1508428905
Name:MELNYK, LYUDMYLA (APRN-NP)
Entity Type:Individual
Prefix:
First Name:LYUDMYLA
Middle Name:
Last Name:MELNYK
Suffix:
Gender:F
Credentials:APRN-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1691 W HORIZON RIDGE PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-3520
Mailing Address - Country:US
Mailing Address - Phone:702-804-1212
Mailing Address - Fax:702-804-1222
Practice Address - Street 1:1691 W HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-3520
Practice Address - Country:US
Practice Address - Phone:702-804-1212
Practice Address - Fax:702-804-1222
Is Sole Proprietor?:No
Enumeration Date:2019-07-05
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV834268363L00000X
NYF343695363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner