Individual provider · Type 1 NPI

Nicole Porto-Bautista, REGISTERED NURSE

Registered Nurse · Melville, NY

NPI number 1306789375 Active

Practice location

265 Broadhollow Rd Ste 200
Melville, NY 11747-4833

Call (516) 452-9299 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X723506-01 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1306789375

Nicole Porto-Bautista, REGISTERED NURSE's National Provider Identifier is 1306789375, issued on Apr 13, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Melville, NY. The record was last updated on Apr 13, 2026.