RUSSELL PAUL NYCUM

ALTOONA, PA
NPI1427793975
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA  SP025550)
Enumeration Date2022-04-29
Last Update Date2022-04-29
Business Address
RUSSELL PAUL NYCUM PMHNP-BC
620 HOWARD AVE
ALTOONA, PA 16601-4804
Phone number: 814-889-4189
Mailing Address
RUSSELL PAUL NYCUM PMHNP-BC
267 PARK HEIGHTS RD
BEDFORD, PA 15522-3875
Phone number: