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ANDREY MIROSHNICHENKO
NPI 1104217009
Rehabilitation Practitioner in Las Vegas, NV

Active since February 12, 2015
7909 LARK MEADOW AVE, LAS VEGAS, NV 89131(407) 437-9947 Get Directions Write a Review

NPPES record last updated: February 12, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrey Miroshnichenko NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREY MIROSHNICHENKO (NPI 1104217009) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1104217009
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameANDREY MIROSHNICHENKO
Location Address7909 LARK MEADOW AVELas Vegas, NV 89131-4710
Mailing Address7909 Lark Meadow AveLas Vegas, NV 89131-4710 · (407) 437-9947
Phone(407) 437-9947
Sole ProprietorYes
Enumeration DateFebruary 12, 2015
✔ NPI 1104217009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
7909 LARK MEADOW AVE, Las Vegas, NV 89131
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrey Miroshnichenko's NPI number?

The NPI number for Andrey Miroshnichenko is 1104217009. It was assigned to this individual provider in the NPPES registry on February 12, 2015.

Where is Andrey Miroshnichenko located?

Andrey Miroshnichenko practices at 7909 Lark Meadow Ave, Las Vegas, NV 89131. The listed phone number is (407) 437-9947.

What is Andrey Miroshnichenko's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Andrey Miroshnichenko was last updated on February 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.