Provider Demographics
NPI:1801254149
Name:BRINKLEY, NICOLE RENEE (RN)
Entity type:Individual
Prefix:MISS
First Name:NICOLE
Middle Name:RENEE
Last Name:BRINKLEY
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:68 S SERVICE RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-2354
Mailing Address - Country:US
Mailing Address - Phone:516-945-3000
Mailing Address - Fax:516-945-3131
Practice Address - Street 1:68 S SERVICE RD
Practice Address - Street 2:SUITE 350
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-2354
Practice Address - Country:US
Practice Address - Phone:516-945-3000
Practice Address - Fax:516-945-3131
Is Sole Proprietor?:No
Enumeration Date:2016-02-01
Last Update Date:2024-04-11
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Provider Licenses
StateLicense IDTaxonomies
VA0001197859163WC0200X
VA0024173294367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine