Nicole Lee Faulkner, FNP
Nurse Practitioner, Family in Kenmore, NY. Individual provider (NPI-1).
NPI number1780107102
StatusActive
Last updated in NPPESJul 18, 2017
Details
- NPI
- 1780107102
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicole Lee Faulkner
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2017
- Last updated
- Jul 18, 2017
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 341977 | NY | Yes |
Practice location
2950 Elmwood Ave Rm 4014Kenmore, NY 14217-1304
Phone 716-447-6100
Mailing address
2950 Elmwood AveKenmore, NY 14217-1304
Phone 716-447-6100
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.
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All 9 Family Nurse Practitioner providers in Kenmore · All 1,108 providers in Kenmore
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