National Provider Identifier

Nicole Mothershed

Nicole Mothershed is listed in the NPPES registry with a primary specialty of Specialist in Elmira, NY and a listed phone number of (607) 857-5099.

NPI 1972925733Elmira, NYSpecialist

Profile Overview

NPI
1972925733
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
January 14, 2014
Last Updated
January 14, 2014

Practice Location

  • 733 Maple Ave
  • Elmira, NY 14904-1924

Phone: (607) 857-5099

Specialties

  • Specialist (174400000X)
Full Record
NPI
1972925733
Entity Type
Individual
Last Name
Mothershed
First Name
Nicole
Mailing Street Address
733 Maple Ave
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14904-1924
Mailing Country
US
Mailing Phone
(607) 857-5099
Practice Street Address
733 Maple Ave
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14904-1924
Practice Country
US
Practice Phone
(607) 857-5099
Enumeration Date
January 14, 2014
Last Updated
January 14, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)