Provider Demographics
NPI:1720380769
Name:NEGLIA, NICOLE ANNE-MARIE (RN)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:ANNE-MARIE
Last Name:NEGLIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 WARBURTON AVE
Mailing Address - Street 2:8H
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1659
Mailing Address - Country:US
Mailing Address - Phone:914-751-6370
Mailing Address - Fax:914-751-6370
Practice Address - Street 1:632 WARBURTON AVE
Practice Address - Street 2:8H
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1659
Practice Address - Country:US
Practice Address - Phone:914-751-6370
Practice Address - Fax:914-751-6370
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-24
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242901163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse