National Provider Identifier
Nicolette Van Horn
Nicolette Van Horn is listed in the NPPES registry with a primary specialty of Physician Assistant in Olean, NY and a listed phone number of (716) 379-8600.
Profile Overview
- NPI
- 1295150142
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 02, 2014
- Last Updated
- April 18, 2017
Practice Location
- 921 Wayne St
- Olean, NY 14760-2255
Phone: (716) 379-8600
Mailing Address
- 199 Park Club Ln
- Suite 300
- Williamsville, NY 14221-5269
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1295150142
- Entity Type
- Individual
- Last Name
- Van Horn
- First Name
- Nicolette
- Provider Other Last Name
- Coyne
- Provider Other First Name
- Nicolette
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 199 Park Club Ln
- Mailing Address Line 2
- Suite 300
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5269
- Mailing Country
- US
- Mailing Phone
- (716) 836-4646
- Practice Street Address
- 921 Wayne St
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-2255
- Practice Country
- US
- Practice Phone
- (716) 379-8600
- Enumeration Date
- March 02, 2014
- Last Updated
- April 18, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)