Individual provider · Type 1 NPI
Nicole Ann Forman, FNP
Family Nurse Practitioner · Stony Brook, NY
NPI number
1184570533
Active
Practice location
100 Nicolls Rd, Hsc 16-047
Stony Brook, NY 11794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F357935 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1184570533
Nicole Ann Forman, FNP's National Provider Identifier is 1184570533, issued on Mar 9, 2026. 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 Mar 9, 2026.