Provider Type Icon

MISS NICOLE R FAZZOLARI MSN FNP NPI 1962010116


NPI Information

NPI: 1962010116
Provider Name: MISS NICOLE R FAZZOLARI, MSN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: GENERAL PHYSICIAN PC

PECOS Registration: Yes

Address:
3050 ORCHARD PARK RD
WEST SENECA, NY
ZIP 14224
Phone: (716) 675-5222
Get Directions

MISS Nicole R Fazzolari, MSN, FNP is a family nurse practitioner in West Seneca, NY with 4 years of experience. MISS Nicole R Fazzolari, MSN, FNP NPI is 1962010116. 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:

3050 ORCHARD PARK RD
WEST SENECA, NY
ZIP 14224-658
Phone: (716) 675-5222
Fax: (716) 675-9329

The NPI 1962010116 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 7/14/2020 and was last updated on 7/14/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily346089NEW 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.