Individual
NICOLE LYNN HOLDSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
140 CANAL VIEW BLVD, ROCHESTER, NY 14623
(585) 279-5100
Mailing address
9080 MAIN ROAD, WEST BLOOMFIELD, NY 14585-0104
(585) 880-8734
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
681624
NY
2086S0129X
Vascular Surgery Physician
308708
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
308708
NY
Other
Enumeration date
06/06/2018
Last updated
06/30/2023
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