Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE FAIRFAX
Active Sole ProprietorNICOLE FAIRFAX is a Home Health Aide healthcare provider located in WEST NEW YORK, New Jersey. NPI 1184314775 is currently active in the NPPES registry. Verify at CMS.
Home Health Aide · WEST NEW YORK, NJ
Registration Details
- NPI Number
- 1184314775
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 9, 2023 (3.2999677176318 yrs)
- Last Updated
- May 9, 2023
- License
-
26NH19618000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
431 56TH ST # 1WEST NEW YORK, NJ, 070932133Browse NJ providers · Browse ZIP 07093
- Phone
- 6469059558
- Primary Specialty
-
Home Health Aide
374U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.