National Provider Identifier

Nicole Marie King

Nicole Marie King is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 698-5996.

NPI 1891449120Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1891449120
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 06, 2022
Last Updated
February 06, 2022

Practice Location

  • 80 Mayville Ln
  • Rochester, NY 14617-3511

Phone: (585) 698-5996

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1891449120
Entity Type
Individual
Last Name
King
First Name
Nicole
Middle Name
Marie
Name Prefix
Mrs.
Provider Other Last Name
Coddington
Provider Other First Name
Nicole
Provider Other Last Name Type Code
1
Mailing Street Address
80 Mayville Ln
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-3511
Mailing Country
US
Mailing Phone
(158) 569-8599
Practice Street Address
80 Mayville Ln
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14617-3511
Practice Country
US
Practice Phone
(585) 698-5996
Enumeration Date
February 06, 2022
Last Updated
February 06, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
February 06, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)