Provider Demographics
NPI:1306843958
Name:TRZCINSKI, NANCY HESEN (FNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:HESEN
Last Name:TRZCINSKI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:736 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3810
Mailing Address - Country:US
Mailing Address - Phone:518-463-3169
Mailing Address - Fax:518-463-8666
Practice Address - Street 1:736 MADISON AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3810
Practice Address - Country:US
Practice Address - Phone:518-463-3169
Practice Address - Fax:518-463-8666
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF3324531363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYS33792Medicare UPIN
NYDD5950Medicare ID - Type Unspecified