Vadim P Pustynovich, FNP-C is a family nurse practitioner in Coeur D Alene, ID with 5 years of experience. Vadim P Pustynovich, FNP-C NPI is 1518507086. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
700 W IRONWOOD DR STE 120
COEUR D ALENE, ID
ZIP 83814-405
Phone: (208) 625-3640
Fax: (208) 625-3645
The NPI 1518507086 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/13/2020 and was last updated on 2/3/2021.