MEDICARE: MRS. INNA PAVLOVNA ZELIKMAN NP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	NP13558	CA
2	363LA2200X	Adult Health Nurse Practitioner	13558	CA

General Provider Information

NPI Number	:	1740585314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. INNA PAVLOVNA ZELIKMAN NP

Provider Business Mailing Address
First Line	:	1725 PEARL ST
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97401-4118
Country	:	US
Telephone Number	:	415-902-9076
Fax Number	:	458-320-0023

Provider Business Practice Location Address
First Line	:	1725 PEARL ST
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97401-4118
Country	:	US
Telephone Number	:	415-902-9076
Fax Number	:	458-320-0023

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2011
Last Update Date	:	11/10/2025

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