Provider Demographics
NPI:1447872452
Name:NYECK, AGNES EMILIE (MD)
Entity type:Individual
Prefix:
First Name:AGNES
Middle Name:EMILIE
Last Name:NYECK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 W CHILDS AVE
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95341-6805
Mailing Address - Country:US
Mailing Address - Phone:209-384-6481
Mailing Address - Fax:209-359-2045
Practice Address - Street 1:1200 W MAIN ST
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-5107
Practice Address - Country:US
Practice Address - Phone:209-668-5388
Practice Address - Fax:209-668-5378
Is Sole Proprietor?:No
Enumeration Date:2020-05-13
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA191929207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine