Individual provider · Type 1 NPI

Nicole Marmol

Licensed Practical Nurse · Port Jefferson Station, NY

NPI number 1306645841 Active

Practice location

22 Grand Ave
Port Jefferson Station, NY 11776-1408

Call (631) 394-6084 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X344786 (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 1306645841

Nicole Marmol's National Provider Identifier is 1306645841, issued on Mar 8, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Mar 20, 2025.