MRS. NICOLE LEE ZACOUR CRNP NPI 1790089100

NPI Information

NPI: 1790089100
Provider Name: MRS. NICOLE LEE ZACOUR, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4247 ROUTE 9 N
FREEHOLD OFFICE PLAZA BLDG #1
FREEHOLD, NJ
ZIP 07728
Phone: (732) 780-7650
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MRS. Nicole Lee Zacour, CRNP is a family nurse practitioner in Freehold, NJ. MRS. Nicole Lee Zacour, CRNP NPI is 1790089100. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4247 ROUTE 9 N
FREEHOLD OFFICE PLAZA BLDG #1
FREEHOLD, NJ
ZIP 07728-307
Phone: (732) 780-7650
Fax: (732) 780-8817

The NPI 1790089100 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/28/2010 and was last updated on 4/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN574736	PENNSYLVANIA	No
2	363LF0000X	Nurse Practitioner	Family	SP011183	PENNSYLVANIA	No
3	363LF0000X	Nurse Practitioner	Family	26NJ00366000	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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