Provider Demographics
NPI:1891586004
Name:NESTERENKO, SVITLANA S (AGPC-NP)
Entity type:Individual
Prefix:
First Name:SVITLANA
Middle Name:S
Last Name:NESTERENKO
Suffix:
Gender:F
Credentials:AGPC-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4161 S FRASER CT APT G
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-4180
Mailing Address - Country:US
Mailing Address - Phone:720-472-1934
Mailing Address - Fax:
Practice Address - Street 1:801 W MINERAL AVE STE 204
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5663
Practice Address - Country:US
Practice Address - Phone:303-815-5133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORXN.0109756-NP363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology