Individual provider · Type 1 NPI

Nicole Fortin

Licensed Practical Nurse · Holtsville, NY

NPI number 1245585488 Active

Practice location

16 Vautrin Ave
Holtsville, NY 11742-1624

Call (631) 879-1018 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X305951 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1245585488

Nicole Fortin's National Provider Identifier is 1245585488, issued on Jul 13, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Holtsville, NY. The record was last updated on Jul 13, 2012.