Provider Demographics
NPI:1528442522
Name:SYNENKO, VLADISLAVA OLEGOVNA (FNP-BC)
Entity type:Individual
Prefix:
First Name:VLADISLAVA
Middle Name:OLEGOVNA
Last Name:SYNENKO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1761 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23504-2313
Mailing Address - Country:US
Mailing Address - Phone:757-769-6653
Mailing Address - Fax:
Practice Address - Street 1:1761 CHURCH ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-2313
Practice Address - Country:US
Practice Address - Phone:757-769-6653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-20
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001202519163W00000X
VA0024172483363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse