Nickerson, Diane

Nickerson, Diane is an sole proprietor health care provider with primary practice located at 2 Mainsail Dr , Patchogue NY 11772-3409. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Nickerson, Diane can be contacted via phone (631) 569-5135.

Contact Information

Primary practice address
2 Mainsail Dr Patchogue NY 11772-3409
Phone: (631) 569-5135
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 238095 New York

Profile Details

NPI number 1780831263
LBN Legal business name Nickerson, Diane
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2008
Last updated Aug 26th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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