Healthcare Provider Details
I. General information
NPI: 1316852213
Provider Name (Legal Business Name): NESTERENKO HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4161 S FRASER CT APT G
AURORA CO
80014-4180
US
IV. Provider business mailing address
1500 N GRANT ST STE R
DENVER CO
80203-1859
US
V. Phone/Fax
- Phone: 720-472-1934
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
SVITLANA
NESTERENKO
Title or Position: MANAGING MEMBER
Credential:
Phone: 720-472-1934