Warren, Nicole Elizabeth

Warren, Nicole Elizabeth is an individual health care provider with primary practice located at 161 Carey Rd , Queensbury NY 12804-7821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Warren, Nicole Elizabeth can be contacted via phone (518) 824-8610.

Contact Information

Primary practice address
161 Carey Rd Queensbury NY 12804-7821
Phone: (518) 824-8610
Fax: (518) 824-2390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F344383 New York

Profile Details

NPI number 1609427293
LBN Legal business name Warren, Nicole Elizabeth
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2019
Last updated Apr 5th, 2022 - about 2 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 1609427293 NPPES
New York MEDICAID 05824180

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