EDUARD TSYRULNYKOV APNP NPI 1720213812

NPI Information

  • NPI: 1720213812
  • Provider Name: EDUARD TSYRULNYKOV, APNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11649 N PORT WASHINGTON RD STE 201&221
    MEQUON, WI
    ZIP 53092
  • Phone: (262) 999-3495

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NPI Details

Eduard Tsyrulnykov, APNP is a psychiatric/mental health nurse practitioner in Mequon, WI. Eduard Tsyrulnykov, APNP NPI is 1720213812. 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:

11649 N PORT WASHINGTON RD STE 201&221
MEQUON, WI
ZIP 53092-460
Phone: (262) 999-3495

The NPI 1720213812 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 5/19/2009 and was last updated on 9/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health9921-33WISCONSINYes
2163W00000XRegistered Nurse200181WISCONSINNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN11016687FLORIDANo
4363LP0808XNurse PractitionerPsychiatric/Mental Health95019975CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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