Provider Demographics
NPI:1003355868
Name:CARDWELL, NICOLE MICHELE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:MICHELE
Last Name:CARDWELL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MISS
Other - First Name:NICOLE
Other - Middle Name:MICHELE
Other - Last Name:TORSIELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:325 NY-100
Mailing Address - Street 2:
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589
Mailing Address - Country:US
Mailing Address - Phone:866-389-2727
Mailing Address - Fax:
Practice Address - Street 1:325 NY-100
Practice Address - Street 2:
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589
Practice Address - Country:US
Practice Address - Phone:914-669-8289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY341422363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily