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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREI IVANOVICH KONONOVICH, RN

Active

ANDREI IVANOVICH KONONOVICH, RN is a Medical-Surgical Nurse healthcare provider located in PLACERVILLE, California. NPI 1215556725 is currently active in the NPPES registry. Verify at CMS.

Medical-Surgical Nurse · PLACERVILLE, CA

Registration Details

NPI Number
1215556725
Provider Type
Individual
Gender
Male
NPI Issued
Apr 14, 2020 (6.3804971593451 yrs)
Last Updated
Apr 14, 2020
License
95186212 (CA)

Practice Information

Address
1100 MARSHALL WAY
PLACERVILLE, CA, 956676533
Browse CA providers · Browse ZIP 95667
Phone
5306221441
Primary Specialty
Medical-Surgical Nurse
163WM0705X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.