NICOLE ANNE WAXMAN NP-C NPI 1750711412

NPI Information

NPI: 1750711412
Provider Name: NICOLE ANNE WAXMAN, NP-C
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
ONE PENN PLAZA, 8TH FLOOR
OPTUM
NEW YORK, NY
ZIP 10119
Phone: (516) 799-0210
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Nicole Anne Waxman, NP-C is an adult health nurse practitioner in New York, NY. Nicole Anne Waxman, NP-C NPI is 1750711412. 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:

ONE PENN PLAZA, 8TH FLOOR
OPTUM
NEW YORK, NY
ZIP 10119-002
Phone: (516) 799-0210
Fax: (516) 799-0247

The NPI 1750711412 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 11/17/2013 and was last updated on 7/21/2022.

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	363LA2200X	Nurse Practitioner	Adult Health	F307697-1	NEW YORK	Yes
2	363LA2200X	Nurse Practitioner	Adult Health	26NJ00472700	NEW JERSEY	No

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: 4/28/2024

NPI Synchronization or Removal

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