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NPI Code Detail

MEDICARE: DR. OLENA SVETLOV DNP, APRN, AGNP/CNS

MEDICARE:  DR. OLENA  SVETLOV  DNP, APRN, AGNP/CNS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner95005011CA
2363LG0600XGerontology Nurse Practitioner95005011CA
3363LP2300XPrimary Care Nurse Practitioner95005011CA
4364SC1501XCommunity Health/Public Health Clinical Nurse Specialist4292CA
5364ST0500XTransplantation Clinical Nurse Specialist4292CA
6364SA2200XAdult Health Clinical Nurse Specialist4292CA
7364SC0200XCritical Care Medicine Clinical Nurse Specialist4292CA
8364SA2100XAcute Care Clinical Nurse Specialist4292CA

General Provider Information

NPI Number : 1073322053
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OLENA SVETLOV DNP, APRN, AGNP/CNS
Provider Business Mailing Address
First Line : 5542 LAS VIRGENES RD UNIT 96
Second Line :
City : CALABASAS
State : CA
Zip : 91302-1000
Country : US
Telephone Number : 818-635-2934
Fax Number :
Provider Business Practice Location Address
First Line : 5542 LAS VIRGENES RD UNIT 96
Second Line :
City : CALABASAS
State : CA
Zip : 91302-1000
Country : US
Telephone Number : 818-635-2934
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2025
Last Update Date : 01/03/2025

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