Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrey Miroshnichenko

Individual provider Rehabilitation Practitioner · NPI 1104217009

Andrey Miroshnichenko is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

7909 Lark Meadow Ave
Las Vegas, NV 89131-4710
Phone: (407) 437-9947
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1104217009
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 12, 2015
Last updated in NPPESFebruary 12, 2015

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