Individual
SLAWOMIR TYCNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1600 W 24TH ST, PUEBLO, CO 81003-1411
(719) 546-4637
(719) 546-4484
Mailing address
1600 W 24TH ST, PUEBLO, CO 81003-1411
(719) 546-4637
(719) 546-4484
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0990527-NP
CO
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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