Healthcare Provider Details

I. General information

NPI: 1447784343
Provider Name (Legal Business Name): NICOLE MARIE MORRONI N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2017
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

848 ROUTE 50
BURNT HILLS NY
12027
US

IV. Provider business mailing address

848 ROUTE 50
BURNT HILLS NY
12027-9511
US

V. Phone/Fax

Practice location:
  • Phone: 518-831-1500
  • Fax: 518-280-8464
Mailing address:
  • Phone: 518-831-1500
  • Fax: 518-280-8464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF341132
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: