Provider Demographics
NPI:1336585082
Name:CHEN, NICOLE FAITH (CNM)
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:FAITH
Last Name:CHEN
Suffix:
Gender:
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 WHITE PLAINS RD STE 500
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5118
Mailing Address - Country:US
Mailing Address - Phone:845-426-4686
Mailing Address - Fax:469-242-9559
Practice Address - Street 1:520 WHITE PLAINS RD STE 500
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5118
Practice Address - Country:US
Practice Address - Phone:845-426-4686
Practice Address - Fax:469-242-9559
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY557748163W00000X
NY063533363LX0001X
NY001548176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No163W00000XNursing Service ProvidersRegistered Nurse
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology