Clement, Nicole

Clement, Nicole is an individual health care provider with primary practice located at 55 Elm St , Glens Falls NY 12801-3549. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Clement, Nicole can be contacted via phone (518) 793-7273.

Contact Information

Primary practice address
55 Elm St Glens Falls NY 12801-3549
Fax: (518) 798-5004
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 6933050 New York

Profile Details

NPI number 1447641147
LBN Legal business name Clement, Nicole
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2015
Last updated Feb 17th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447641147 NPPES
New York MEDICAID 01420800

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