National Provider Identifier

Nicole Harris, L.P.N

Nicole Harris, L.P.N is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Newark, NY and a listed phone number of (315) 690-6654.

NPI 1497257562Newark, NYLicensed Practical Nurse

Profile Overview

NPI
1497257562
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 06, 2018
Last Updated
March 06, 2018

Practice Location

  • 419 E Miller St
  • Newark, NY 14513-1563

Phone: (315) 690-6654

Mailing Address

  • 203 Wilson St
  • Newark, NY 14513-1946

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1497257562
Entity Type
Individual
Last Name
Harris
First Name
Nicole
Credential
L.P.N
Mailing Street Address
203 Wilson St
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-1946
Mailing Country
US
Mailing Phone
(315) 879-5178
Practice Street Address
419 E Miller St
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1563
Practice Country
US
Practice Phone
(315) 690-6654
Enumeration Date
March 06, 2018
Last Updated
March 06, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)