Individual
NICOLE GREHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
234 ORINOCO DR, BRIGHTWATERS, NY 11718-1822
(631) 300-0797
(631) 647-8429
Mailing address
871 GRAND ST APT 5B, BROOKLYN, NY 11211-4103
(414) 313-8350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
801426
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F310519
NY
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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