Provider Demographics
NPI:1699926063
Name:BRYCHTA, JOY LYNNE (RN, NP)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:LYNNE
Last Name:BRYCHTA
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:LYNNE
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, NP
Mailing Address - Street 1:11230 SORRENTO VALLEY RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-1332
Mailing Address - Country:US
Mailing Address - Phone:858-546-7600
Mailing Address - Fax:858-408-4281
Practice Address - Street 1:11230 SORRENTO VALLEY RD
Practice Address - Street 2:SUITE 120
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-1332
Practice Address - Country:US
Practice Address - Phone:858-546-7600
Practice Address - Fax:858-408-4281
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA668889363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health