IndividualActive
Nicole Tychostup, RN
NPI 1013776137 · Perinatal Registered Nurse · Waterford, NY
Provider details
- NPI number
- 1013776137
- Entity type
- Individual
- Primary specialty
- Perinatal Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 700535 (NY)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
107 4th St
Waterford, NY 12188-2025
Phone: (228) 297-6071
Approximate (ZIP-level) locationGet directions
Mailing address
107 4th St
Waterford, NY 12188-2025
Registry dates
- Enumerated
- 2024-03-19
- Last updated
- 2024-03-19
- Certified
- 2024-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.