Individual provider · Type 1 NPI

Nicole Ann Bluethgen, FNP, RN

Family Nurse Practitioner · Stony Brook, NY

NPI number 1104701911 Active

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-0001

Call (631) 689-8333 Map

Mailing address

1 Mohannis Way
Kings Park, NY 11754-4547

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	357425 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1104701911

Nicole Ann Bluethgen, FNP, RN's National Provider Identifier is 1104701911, issued on Aug 11, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stony Brook, NY. The record was last updated on Aug 11, 2025.