Provider Demographics
NPI:1144573544
Name:NYE, NICOLE M (CRNP)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:M
Last Name:NYE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:M
Other - Last Name:AMOROSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1521 8TH AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-1893
Mailing Address - Country:US
Mailing Address - Phone:610-882-2598
Mailing Address - Fax:610-882-4443
Practice Address - Street 1:1521 8TH AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-1893
Practice Address - Country:US
Practice Address - Phone:610-882-2598
Practice Address - Fax:610-882-4443
Is Sole Proprietor?:No
Enumeration Date:2012-10-23
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012437363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA257271Medicare PIN