NICOLE ALISON DEYETTE

LATHAM, NY
NPI1598548760
Former NameNICOLE ALISON NISTA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NY  F351981)
Enumeration Date2023-08-14
Last Update Date2023-10-02
Business Address
NICOLE ALISON DEYETTE FNP-C
585 NEW LOUDON RD
LATHAM, NY 12110-5701
Phone number: 518-783-1472
Mailing Address
NICOLE ALISON DEYETTE FNP-C
585 NEW LOUDON RD
LATHAM, NY 12110-5701
Phone number: 518-783-1472