National Provider Identifier
Nicole L Knickerbocker, LPN
Nicole L Knickerbocker, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Brockport, NY and a listed phone number of (607) 621-0472.
Profile Overview
- NPI
- 1427804863
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 26, 2024
- Last Updated
- April 26, 2024
Practice Location
- 183 Main St Apt 3
- Brockport, NY 14420-2254
Phone: (607) 621-0472
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1427804863
- Entity Type
- Individual
- Last Name
- Knickerbocker
- First Name
- Nicole
- Middle Name
- L
- Name Prefix
- MS.
- Credential
- LPN
- Mailing Street Address
- 183 Main St Apt 3
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-2254
- Mailing Country
- US
- Mailing Phone
- (607) 621-0472
- Practice Street Address
- 183 Main St Apt 3
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-2254
- Practice Country
- US
- Practice Phone
- (607) 621-0472
- Enumeration Date
- April 26, 2024
- Last Updated
- April 26, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 26, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)