Individual
SHELBY ELIZABETH NYCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
340 HODGSON CT, SAVANNAH, GA 31406-1520
(912) 629-2290
Mailing address
340 HODGSON CT, SAVANNAH, GA 31406-1520
(912) 629-2290
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61218979
WA
363AM0700X
Medical Physician Assistant
13941
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205502978
—
WA
Enumeration date
08/21/2021
Last updated
06/30/2026
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