NICOLE ANN FORMAN FNP NPI 1184570533

NPI Information

  • NPI: 1184570533
  • Provider Name: NICOLE ANN FORMAN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 100 NICOLLS RD
    HSC 16-047
    STONY BROOK, NY
    ZIP 11794
  • Phone: (631) 444-3457

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NPI Details

Nicole Ann Forman, FNP is a family nurse practitioner in Stony Brook, NY. Nicole Ann Forman, FNP NPI is 1184570533. 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:

100 NICOLLS RD
HSC 16-047
STONY BROOK, NY
ZIP 11794
Phone: (631) 444-3457

The enumeration date for this NPI number is 3/9/2026 and was last updated on 3/9/2026.

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
1363LF0000XNurse PractitionerFamilyF357935NEW YORKYes

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: 11/21/2025

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