Individual
NICOLE HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
29 E CAYUGA ST, OSWEGO, NY 13126-1241
(315) 326-4100
Mailing address
29 E CAYUGA ST, OSWEGO, NY 13126-1241
(315) 326-4100
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
771033
NY
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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