Individual
NANCY E ZYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
201 CEDAR ST SE, SUITE 6600, ALBUQUERQUE, NM 87106-4917
(505) 724-4300
(505) 724-4384
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-2336
(505) 272-5103
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
81-PA013
NM
363AS0400X
Surgical Physician Assistant
Primary
81-PA013
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00094482
—
NM
Enumeration date
01/05/2006
Last updated
09/15/2014
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