Individual
MRS. NICKCOLE MICHELE CHRISTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
3867 AMUNDSON AVE, BRONX, NY 10466-5920
(203) 526-9941
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
583161-1
NY
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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