Individual
LINDSAY EMILY NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-0580
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-0580
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
350409
NY
363LF0000X
Family Nurse Practitioner
350409
NY
Other
Enumeration date
10/11/2022
Last updated
01/10/2023
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