National Provider Identifier Database

NICOLE R TYCHOSTUP, RN – NPI #1013776137
Perinatal


Contact Information

NICOLE R TYCHOSTUP, RN
107 4TH ST
WATERFORD, NY12188-2025
Phone: 228-297-6071
Fax:
Website:
Specialty Taxonomy Code
* Perinatal 163WP1700X
Case Management 163WC0400X

* Indicates primary specialty

NPI Profile & details for NICOLE R TYCHOSTUP

NPI Number 1013776137
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 03/19/2024
Last updated 03/19/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 700535
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for NICOLE R TYCHOSTUP, RN

There are currently no reviews for NICOLE R TYCHOSTUP, RN


NPIdb - Home
v2.201