Oksana Goncharenko, APRN-CNP
Nurse Practitioner, Gerontology in Albuquerque, NM. Individual provider (NPI-1).
NPI number1801780937
StatusActive
Last updated in NPPESMar 17, 2026
Details
- NPI
- 1801780937
- Entity type
- Individual (NPI-1)
- Name
- Ms. Oksana Goncharenko
- Credential
- APRN-CNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 4, 2025
- Certification date
- Mar 17, 2026
- Last updated
- Mar 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 86584 | NM | Yes |
| 163W00000X | Registered Nurse | 86584 | NM | |
| 163W00000X | Registered Nurse | 751635 | NY |
Practice location
715 Dr Martin Luther King Jr Ave Ne Ste 301Albuquerque, NM 87102-3668
Phone 505-727-7090 · Fax 505-727-9590
Mailing address
4101 Indian School Rd Ne Ste 110Albuquerque, NM 87110-3991
Phone 505-727-5174
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