Individual
NICOLE ELIZABETH KUSCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-9676
Mailing address
2021 1ST AVE APT 8C, NEW YORK, NY 10029-5092
(401) 263-2980
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309617
NY
Other
Enumeration date
08/04/2021
Last updated
08/12/2021
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