Provider Demographics
NPI:1467845636
Name:NICOLE SYPNIEWSKI
Entity type:Organization
Organization Name:NICOLE SYPNIEWSKI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOULA
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SYPNIEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:908-246-6572
Mailing Address - Street 1:8 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-1702
Mailing Address - Country:US
Mailing Address - Phone:908-246-6572
Mailing Address - Fax:
Practice Address - Street 1:8 ADAMS ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-1702
Practice Address - Country:US
Practice Address - Phone:908-246-6572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR13689400374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty