NPI 1104707504

Nicole Dixon, LPN

Practitioner Licensed Practical Nurse Lynbrook, NY

Practice location

Address: 61 Carpenter Ave, Lynbrook, NY 11563-3330
Phone: (631) 438-9023

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 339861 (NY)

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Registry record

NPI: 1104707504
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Sep 2025
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.