National Provider Identifier
Nichole S Supple, DO
Nichole S Supple, DO is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Rochester, NY and a listed phone number of (585) 922-4000.
Profile Overview
- NPI
- 1871805341
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- July 13, 2010
- Last Updated
- October 03, 2014
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-4000
Specialties
- Emergency Medicine Physician (207P00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1871805341
- Entity Type
- Individual
- Last Name
- Supple
- First Name
- Nichole
- Middle Name
- S
- Credential
- DO
- Provider Other Last Name
- Dehollander
- Provider Other First Name
- Nichole
- Provider Other Middle Name
- S
- Provider Other Credential Text
- DO
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Mailing Phone
- (585) 922-4000
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-4000
- Enumeration Date
- July 13, 2010
- Last Updated
- October 03, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X), Student in an Organized Health Care Education/Training Program (390200000X)