Individual
NICOLE ANNE WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
ONE PENN PLAZA, 8TH FLOOR, OPTUM, NEW YORK, NY 10119-0002
(516) 799-0210
(516) 799-0247
Mailing address
ONE PENN PLAZA, 8TH FLOOR, OPTUM, NEW YORK, NY 10119-0002
(347) 395-7493
(844) 428-4577
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00472700
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
F307697-1
NY
Other
Enumeration date
11/17/2013
Last updated
07/21/2022
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