Individual
MRS. NICOLE LOVELESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,LENS PRACTITIONER
Contact information
Practice address
201 S 2ND ST, FULTON, NY 13069-2346
(315) 297-4018
Mailing address
201 S 2ND ST, FULTON, NY 13069-2346
(315) 297-4018
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
645618
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
645618
NY
171400000X
Health & Wellness Coach
—
—
208VP0014X
Interventional Pain Medicine Physician
645618
NY
246ZE0500X
EEG Specialist/Technologist
Primary
—
NY
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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