Individual
NICOLE MICHELE KILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
180 FORT WASHINGTON AVE FL 7, NEW YORK, NY 10032-3722
(212) 305-7340
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0260125721
VT
163W00000X
Registered Nurse
780628-01
NY
363L00000X
Nurse Practitioner
432194
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
F432194
NY
Other
Enumeration date
08/05/2021
Last updated
01/23/2023
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