Individual
MISS NICOLE ELAYE TIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1305 YORK AVE, NEW YORK, NY 10021-5663
(646) 962-2764
Mailing address
64 E 111TH ST APT 904, NEW YORK, NY 10029-2688
(732) 259-0893
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421376
NY
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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