Diane Nickerson, LPN

NPI #1780831263 in Patchogue, New York

Provider Information

NPI Number
1780831263
Entity Type
Individual
Name
Diane Nickerson, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Aug 26, 2008
Last Updated
Aug 26, 2008

Practice Location

Address
2 MAINSAIL DR
ZIP Code
11772-3409
Phone
(631) 569-5135

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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