SLAWOMIR TYCNER


Address: 1600 W 24th St, Pueblo, CO 81003-1411
Phone: 7195464637

SLAWOMIR TYCNER (NPI# 1811233448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811233448
Entity Type Individual
Full Name SLAWOMIR TYCNER
Credential PMHNP
Practice Address 1600 W 24th St
Pueblo
CO 81003-1411
Practice Telephone 7195464637
Practice Fax Number 7195464484
Mailing Telephone 7195464637
Mailing Fax Number 7195464484
Enumeration Date 2012-12-31
Last Update Date 2012-12-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
APN.0990527-NP CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1600 W 24TH ST
City PUEBLO
State CO
Zip Code 81003-1411

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427048917 Lennart Rolf Abel Psychiatry & Neurology 1600 W 24th St, Pueblo, CO 81003-1411 2005-10-26
1306321294 Cher Li Ang Psychiatry & Neurology 1600 W 24th St, Pueblo, CO 81003-1499 2018-09-26
1255815668 Kalpana Narayanan Nair Registered Nurse 1600 W 24th St, Pueblo, CO 81003-1411 2018-09-21
1336651884 Susan Oehler Psychologist 1600 W 24th St, Pueblo, CO 81003-1411 2017-10-24
1851831846 Annabelle Florez Nurse Practitioner 1600 W 24th St, Pueblo, CO 81003-1411 2017-02-24
1114478245 Miriam Suzanne Scott Psychologist 1600 W 24th St, Pueblo, CO 81003-1411 2016-10-24
1558746362 Ryan Stanton Morris Registered Nurse 1600 W 24th St, Pueblo, CO 81003-1411 2015-07-22
1942691365 Niesa Parmelee Registered Nurse 1600 W 24th St, Pueblo, CO 81003-1411 2015-02-06
1336547090 Devona Marie Walter Social Worker 1600 W 24th St, Pueblo, CO 81003-1411 2014-12-11
1871918037 Regan Young Counselor 1600 W 24th St, Pueblo, CO 81003-1411 2014-02-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164042016 Sunil Kumar Student in an Organized Health Care Education/Training Program Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2020-04-21
1497382303 Pueblo Family Dentistry Pllc Dentist 701 N Grand Avenue, Suite B, Pueblo, CO 81003 2020-03-23
1023654241 Elmer A. Villalon, Dmd, LLC Clinic/Center 1225 North Main Street, #207, Pueblo, CO 81003 2019-11-22
1518434349 Mariam Rahim Internal Medicine Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2018-10-30
1003308222 Julia Mcneice Internal Medicine Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2018-06-04
1689164857 Jessica Sels Internal Medicine Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 2018-05-14
1700313459 Allison Vigil Occupational Therapist 1600 W. 24th St, Pueblo, CO 81003 2017-05-12
1245682020 Paul S Bongat Internal Medicine 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 2016-07-06
1013368596 Daniel R Long Internal Medicine 411 West 14th Street, Pueblo, CO 81003 2016-06-27
1396195665 Parkview Medical Center General Acute Care Hospital 411 W. 14th St, Pueblo, CO 81003 2016-06-17
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972050615 Jodi R Trujillo Nurse Practitioner 37 S Briarwood Pl, Pueblo, CO 81005-1803 2016-09-09
1851831846 Annabelle Florez Nurse Practitioner 1600 W 24th St, Pueblo, CO 81003-1411 2017-02-24
1871950493 Wendy Wade Nurse Practitioner 1304 Chinook Ln, Pueblo, CO 81001-1851 2016-01-27
1437554557 Alison Shapiro Nurse Practitioner 56 Club Manor Drive, Suite 100, Pueblo, CO 81008-1685 2014-10-31
1114357183 Leslie Ann Branick Morrow Nurse Practitioner 1304 Chinook Ln, Pueblo, CO 81001-1851 2013-11-12
1760730295 Brenda Jean Mcbride-wilson Nurse Practitioner 1302 Chinook Ln, Pueblo, CO 81001-1851 2012-08-15
1578810750 Lorrie J. Hoffman Nurse Practitioner 1600 W 24th St, Pueblo, CO 81003-1411 2012-08-07
1013283241 Monica A Flynn Nurse Practitioner 41 Montebello Rd, Pueblo, CO 81001-1379 2012-04-02
1073833273 Janice Mary Whiting Nurse Practitioner 1304 Chinook Ln, Pueblo, CO 81001-1851 2010-06-10
1366672719 Jessica L Cummings Nurse Practitioner 56 Club Manor Dr, Suite 100, Pueblo, CO 81008-1685 2009-07-20
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Competitor

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City PUEBLO
Zip Code 81003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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