National Provider Identifier

Nicole Marie Mauro

Nicole Marie Mauro is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Williamsville, NY and a listed phone number of (716) 276-2123.

NPI 1073136362Williamsville, NYLicensed Practical Nurse

Profile Overview

NPI
1073136362
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 21, 2020
Last Updated
May 21, 2020

Practice Location

  • 2550 Wehrle Drive
  • Williamsville, NY 14221

Phone: (716) 276-2123

Specialties

  • Licensed Practical Nurse (164W00000X)

Endpoints

  • www.aveanna.com

    Connect Url | Williamsville, NY 14221

Full Record
NPI
1073136362
Entity Type
Individual
Last Name
Mauro
First Name
Nicole
Middle Name
Marie
Mailing Street Address
2550 Wehrle Drive
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221
Mailing Country
US
Practice Street Address
2550 Wehrle Drive
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221
Practice Country
US
Practice Phone
(716) 276-2123
Enumeration Date
May 21, 2020
Last Updated
May 21, 2020
Sex
Female
Sole Proprietor
No
Certification Date
May 21, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)