National Provider Identifier

Nicole Alana Northrup

Nicole Alana Northrup is listed in the NPPES registry with a primary specialty of School Registered Nurse in Fairport, NY and a listed phone number of (585) 421-2067.

NPI 1194482331Fairport, NYSchool Registered Nurse

Profile Overview

NPI
1194482331
Provider Type
Individual
Primary Specialty
School Registered Nurse
Enumeration Date
November 23, 2021
Last Updated
November 23, 2021

Practice Location

  • 665 Ayrault RD
  • Fairport, NY 14450-3000

Phone: (585) 421-2067

Mailing Address

  • 35 Willowick Dr
  • Fairport, NY 14450-8904

Specialties

  • School Registered Nurse (163WS0200X)
Full Record
NPI
1194482331
Entity Type
Individual
Last Name
Northrup
First Name
Nicole
Middle Name
Alana
Mailing Street Address
35 Willowick Dr
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-8904
Mailing Country
US
Mailing Phone
(585) 245-3422
Practice Street Address
665 Ayrault RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-3000
Practice Country
US
Practice Phone
(585) 421-2067
Enumeration Date
November 23, 2021
Last Updated
November 23, 2021
Sex
Female
Sole Proprietor
No
Certification Date
November 23, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
School Registered Nurse (163WS0200X)