Park, Nicole E
Park, Nicole E is an individual health care provider with primary practice located at 210 Westchester Ave , White Plains NY 10604-2901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Park, Nicole E can be contacted via phone (914) 681-3100.Contact Information
Primary practice address
210 Westchester Ave
White Plains NY 10604-2901
Phone: (914) 681-3100
Fax: (914) 682-6588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F333126 | New York |
Profile Details
| NPI number | 1760439673 |
|---|---|
| LBN Legal business name | Park, Nicole E |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Dec 8th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760439673 | NPPES |
| New York | MEDICAID | 02187713 |
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