Nicole Harris, LPN | |
419 E Miller St, Newark, NY 14513-1563 | |
(315) 690-6654 | |
Not Available |
Full Name | Nicole Harris |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 419 E Miller St, Newark, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497257562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 3209881 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Nicole Harris, LPN 203 Wilson St, Newark, NY 14513-1946 Ph: (315) 879-5178 | Nicole Harris, LPN 419 E Miller St, Newark, NY 14513-1563 Ph: (315) 690-6654 |
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