Individual provider · Type 1 NPI
Lisa Nickerson
Home Health Registered Nurse · Brooklyn, NY
NPI number
1508609629
Active
Practice location
616 E 59th St # 1
Brooklyn, NY 11234-1302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 786328 (NY) |
Home Health Registered Nurse: Definition to come...
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About NPI 1508609629
Lisa Nickerson's National Provider Identifier is 1508609629, issued on Jun 17, 2024. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 17, 2024.