Provider Demographics
NPI:1689118341
Name:LENZEN, NICOLE CHERIE (RN, NC-BC, AHN-BC)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:CHERIE
Last Name:LENZEN
Suffix:
Gender:F
Credentials:RN, NC-BC, AHN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 1ST AVE
Mailing Address - Street 2:C-120
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6401
Mailing Address - Country:US
Mailing Address - Phone:212-263-5767
Mailing Address - Fax:
Practice Address - Street 1:545 1ST AVE
Practice Address - Street 2:C-120
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6401
Practice Address - Country:US
Practice Address - Phone:212-263-5767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-14
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY620049163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse