Organization
FOOT BLISS WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY MAY NICHOLAS (NURSE PRACTITIONER)
(718) 772-9099
Entity
Organization
Contact information
Practice address
820 FLATBUSH AVE, BROOKLYN, NY 11226-3102
(718) 772-9099
Mailing address
820 FLATBUSH AVE, BROOKLYN, NY 11226-3102
(718) 772-9099
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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