Individual
NICOLE HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
14202 20TH AVE, FLUSHING, NY 11351-3000
(718) 559-0555
Mailing address
14202 20TH AVE, FLUSHING, NY 11351-3000
(917) 563-3350
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
747804
NY
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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