| Doctor Name: | MISS NICOLE MARGARET PELLETIER |
| NPI Number: | 1033373089 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, BSN |
| License Number: | 526832-1 |
| Business Practice Address: | 9072 Ny Highway 66 Averill Park, NY - 120185926 |
| Business Phone Number: | 5186745937 |
| Business Fax Number: | 5186748132 |
| Mailing Address: | 9072 Ny Rt 66, AVERILL PARK |
| State: | NY |
| Postal Code: | 12018 |
| Phone Number: | 5186745937 |
| Fax Number: | 5186748132 |
| NPI Enumeration Date: | 07/17/2008 |
| NPI Last Update Date: | 07/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | 526832-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |