Individual
NICOLE PANTIERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
122 EDISON CT APT D, MONSEY, NY 10952-1952
(845) 521-5691
Mailing address
140 SUMMIT PARK RD, SPRING VALLEY, NY 10977-1217
(845) 521-5691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
668894
NY
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-302371
NY
Other
Enumeration date
08/05/2013
Last updated
03/13/2024
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