Russell Paul Nycum, PMHNP-BC | |
620 Howard Ave, Altoona, PA 16601-4804 | |
(814) 889-4189 | |
Not Available |
Full Name | Russell Paul Nycum |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 620 Howard Ave, Altoona, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427793975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP025550 (Pennsylvania) | Primary |
Entity Name | Upmc Altoona |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760567283 PECOS PAC ID: 8426962465 Enrollment ID: O20040406001006 |
Entity Name | Adara Healthcare Staffing, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215285515 PECOS PAC ID: 8527448356 Enrollment ID: O20220711000625 |
Mailing Address | Practice Location Address |
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Russell Paul Nycum, PMHNP-BC 267 Park Heights Rd, Bedford, PA 15522-3875 Ph: () - | Russell Paul Nycum, PMHNP-BC 620 Howard Ave, Altoona, PA 16601-4804 Ph: (814) 889-4189 |
Erin M Yesenosky, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1701 12th Ave, Altoona, PA 16601 Phone: 814-942-9600 Fax: 814-942-9617 | |
Jessica Lyn Cherry, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-942-5000 Fax: 914-942-9500 | |
Devin Lee Petulla, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 222 Chestnut Ave, Altoona, PA 16601 Phone: 814-946-8046 Fax: 814-946-3693 | |
Robyn J Daniels, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 Howard Ave, Op-2, Altoona, PA 16601 Phone: 814-889-6980 Fax: 814-889-6994 | |
Allison Denae Walters, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2004 Parkway Dr, Altoona, PA 16602 Phone: 814-327-3288 | |
Joshua Mahute, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-889-3089 | |
Jason Zimmerman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2907 Pleasant Valley Blvd, Altoona, PA 16602 Phone: 814-943-8164 |