Provider Demographics
NPI:1073307146
Name:HRYTSYUK, IRENE SOPHIA (APRNCNP)
Entity type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:SOPHIA
Last Name:HRYTSYUK
Suffix:
Gender:
Credentials:APRNCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9960 RIDGE LINE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-3189
Mailing Address - Country:US
Mailing Address - Phone:440-832-1097
Mailing Address - Fax:
Practice Address - Street 1:9960 RIDGE LINE DR
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-3189
Practice Address - Country:US
Practice Address - Phone:440-832-1097
Practice Address - Fax:440-832-1097
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0039019363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology