Provider Demographics
NPI:1043910714
Name:AUSIANNIKAVA, MARIA (RN)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:AUSIANNIKAVA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3522 ARCADIA DR
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89705-6903
Mailing Address - Country:US
Mailing Address - Phone:786-263-9175
Mailing Address - Fax:
Practice Address - Street 1:3522 ARCADIA DR
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89705-6903
Practice Address - Country:US
Practice Address - Phone:786-263-9175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV857371163WN1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN1003XNursing Service ProvidersRegistered NurseNutrition Support