Provider Demographics
NPI:1740360502
Name:POST, NICOLE RENEE (MD)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:RENEE
Last Name:POST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 TANNER ST
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-2403
Mailing Address - Country:US
Mailing Address - Phone:856-701-8328
Mailing Address - Fax:856-857-1600
Practice Address - Street 1:17 TANNER ST
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-2403
Practice Address - Country:US
Practice Address - Phone:856-701-8328
Practice Address - Fax:856-857-1600
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 4391432084P0800X
SCLL279482084P0800X
NJ25MA090863002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry