MEDICARE: NICOLE HRYCKO FNP-C, PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	APRN11002106	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427431576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE HRYCKO FNP-C, PMHNP

Provider Business Mailing Address
First Line	:	10244 E COLONIAL DR STE 204
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817-4338
Country	:	US
Telephone Number	:	407-777-2673
Fax Number	:	407-612-2226

Provider Business Practice Location Address
First Line	:	10244 E COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817-4374
Country	:	US
Telephone Number	:	407-777-2673
Fax Number	:	407-612-2226

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2015
Last Update Date	:	02/10/2026

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