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

KSENIA PETRUSHKINA, PA

Active Sole Proprietor

KSENIA PETRUSHKINA, PA is a Physician Assistant healthcare provider located in SUNNY ISLES BEACH, Florida. NPI 1972119451 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SUNNY ISLES BEACH, FL

Registration Details

NPI Number
1972119451
Provider Type
Individual
Gender
Female
NPI Issued
Sep 19, 2020 (5.9056485443551 yrs)
Last Updated
Sep 19, 2020
License
1150989 (FL)
Sole Proprietor
Yes

Practice Information

Address
17121 COLLINS AVE APT 1907
SUNNY ISLES BEACH, FL, 331604380
Browse FL providers · Browse ZIP 33160
Phone
7865643612
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SUNNY ISLES BEACH, FL

Name Credential NPI
MR. TYSON HOLT WARNER PA-C 1053502054
MRS. OKSANA MALTSEVA PA 1578801536
ANDREW RAUCH MCMSC, PA-C 1821414210
JASMINE AUERBACH PA 1659150936
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.