Provider Demographics
NPI:1689494171
Name:SAFFIOTI, NICOLE THERESE (FNP-C)
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:THERESE
Last Name:SAFFIOTI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:NICOLE
Other - Middle Name:THERESE
Other - Last Name:SCALERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 603725
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-3725
Mailing Address - Country:US
Mailing Address - Phone:828-575-2625
Mailing Address - Fax:828-350-2174
Practice Address - Street 1:802 W PARK AVE STE 213
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-8526
Practice Address - Country:US
Practice Address - Phone:732-631-8976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-10
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15081000363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner