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Nicole Alison Deyette, FNP-C

Nurse Practitioner, Family in Latham, NY. Individual provider (NPI-1).

NPI number1598548760
StatusActive
Last updated in NPPESOct 2, 2023

Details

NPI
1598548760
Entity type
Individual (NPI-1)
Name
Nicole Alison Deyette
Credential
FNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Aug 14, 2023
Certification date
Oct 2, 2023
Last updated
Oct 2, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyF351981NYYes

Other names

  • Nicole Alison Nista (Former Name)

Practice location

585 New Loudon Rd
Latham, NY 12110-5701

Phone 518-783-1472

Mailing address

585 New Loudon Rd
Latham, NY 12110-5701

Phone 518-783-1472

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Latham, NY

All 62 Family Nurse Practitioner providers in Latham · All 1,309 providers in Latham

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