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Individual
MS. NICOLE MICHELLE ELTING
Active
Individual
MS. NICOLE MICHELLE ELTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
531856-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F338948-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MEDICAID
—
NY
Enumeration date
02/21/2015
Last updated
07/21/2022
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