Most Relevant Information
Provider Data
| NPI Number: | 1003699810 |
| Provider Name: | NICOLE MARIE VOUDREN FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 351947 |
Most Important Dates
| Enumeration Date: | 08/15/2023 |
| Last Updated: | 08/15/2023 |
Provider Practice Location
750 E ADAMS ST
SYRACUSE
NY
132102306
Practice Location Phone/Fax
| Phone: | 3152546914 |
| Fax: | 3154648524 |
Provider Mailing Location
750 E ADAMS ST
SYRACUSE
NY
132101834
Provider Mailing Phone/Fax
| Phone: | 3152546914 |
| Fax: | 3154648524 |