MEDICARE: NICOLE LOUISE WEINSHEIMER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F02260620	NY

General Provider Information

NPI Number	:	1730035643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE LOUISE WEINSHEIMER

Provider Business Mailing Address
First Line	:	377 PECAN ST
Second Line	:
City	:	LINDENHURST
State	:	NY
Zip	:	11757-4700
Country	:	US
Telephone Number	:	631-804-1633
Fax Number	:

Provider Business Practice Location Address
First Line	:	3626 E TREMONT AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-2030
Country	:	US
Telephone Number	:	347-871-3764
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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