National Provider Identifier

Nickole Denise Mitchell

Nickole Denise Mitchell is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 936-0508.

NPI 1023671666Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1023671666
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 18, 2019
Last Updated
April 18, 2019

Practice Location

  • 114 W Winspear Ave
  • Buffalo, NY 14214-1161

Phone: (716) 936-0508

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1023671666
Entity Type
Individual
Last Name
Mitchell
First Name
Nickole
Middle Name
Denise
Mailing Street Address
114 W Winspear Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-1161
Mailing Country
US
Mailing Phone
(716) 936-0508
Practice Street Address
114 W Winspear Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-1161
Practice Country
US
Practice Phone
(716) 936-0508
Enumeration Date
April 18, 2019
Last Updated
April 18, 2019
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)