National Provider Identifier
Nicole Crosby
Nicole Crosby is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Walworth, NY and a listed phone number of (315) 690-6120.
Profile Overview
- NPI
- 1164247474
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 21, 2024
- Last Updated
- November 21, 2024
Practice Location
- 1549 Trefoil Ct
- Walworth, NY 14568-9523
Phone: (315) 690-6120
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1164247474
- Entity Type
- Individual
- Last Name
- Crosby
- First Name
- Nicole
- Provider Other Last Name
- Dyer
- Provider Other First Name
- Nicole
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1549 Trefoil Ct
- Mailing City
- Walworth
- Mailing State
- NY
- Mailing ZIP Code
- 14568-9523
- Mailing Country
- US
- Mailing Phone
- (315) 690-6120
- Practice Street Address
- 1549 Trefoil Ct
- Practice City
- Walworth
- Practice State
- NY
- Practice ZIP Code
- 14568-9523
- Practice Country
- US
- Practice Phone
- (315) 690-6120
- Enumeration Date
- November 21, 2024
- Last Updated
- November 21, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 21, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)