Provider Demographics
NPI:1528148442
Name:ISBELL, NANCY NORDYKE (LPCC,NCC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:NORDYKE
Last Name:ISBELL
Suffix:
Gender:F
Credentials:LPCC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2341 GENERAL BRADLEY, NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112
Mailing Address - Country:US
Mailing Address - Phone:505-220-9329
Mailing Address - Fax:
Practice Address - Street 1:2601 WYOMING BLVD, NE, SUITE 202
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-0000
Practice Address - Country:US
Practice Address - Phone:505-220-9329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2963101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM101568Medicaid
NM201019462OtherPRESBYTERIAN HEALTH PLAN