Individual provider · Type 1 NPI
Nicole Ladd, CPNP
Pediatric Nurse Practitioner · Sayville, NY
NPI number
1861625790
Active
Practice location
285 W Main St, Suite 104
Sayville, NY 11782-2540
Fax (631) 563-8194
Mailing address
45 Reasearch Way, Stony Brook Childrens Services, Ufpc
East Setauket, NY 11733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 542820 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 381989 (NY) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
Other pediatric nurse practitioner providers in Sayville
About NPI 1861625790
Nicole Ladd, CPNP's National Provider Identifier is 1861625790, issued on Aug 26, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Sayville, NY. The record was last updated on Oct 7, 2019.