Nycum, Russell Paul

Nycum, Russell Paul is an individual health care provider with primary practice located at 620 Howard Ave , Altoona PA 16601-4804. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Nycum, Russell Paul can be contacted via phone (814) 889-4189.

Contact Information

Primary practice address
620 Howard Ave Altoona PA 16601-4804
Phone: (814) 889-4189
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SP025550 Pennsylvania

Profile Details

NPI number 1427793975
LBN Legal business name Nycum, Russell Paul
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2022
Last updated Apr 29th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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