Individual
NICHOLE BEDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 561-2000
Mailing address
28 SOUTH ST, CHAMPLAIN, NY 12919-5416
(518) 570-5396
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
605776
NY
363L00000X
Nurse Practitioner
Primary
310893
NY
Other
Enumeration date
07/14/2022
Last updated
11/23/2022
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