Provider Demographics
NPI:1689242901
Name:PRYKHODKO, INNA (FNP)
Entity type:Individual
Prefix:
First Name:INNA
Middle Name:
Last Name:PRYKHODKO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:INNA
Other - Middle Name:
Other - Last Name:PRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:7400 E ARAPAHOE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1390
Mailing Address - Country:US
Mailing Address - Phone:720-446-5190
Mailing Address - Fax:
Practice Address - Street 1:7400 E ARAPAHOE RD STE 100
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1390
Practice Address - Country:US
Practice Address - Phone:720-446-5190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1653980163WG0000X
COAPN.0998742-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice