Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Maxine Angella Nicholson

Individual provider Licensed Practical Nurse · NPI 1821346339

MS. Maxine Angella Nicholson is a Licensed Practical Nurse in Far Rockaway, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

2249 Cornaga Ave
Far Rockaway, NY 11691-2530
Phone: (347) 254-5684
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 309089 (NY)

Record details

NPI number1821346339
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2012
Last updated in NPPESAugust 15, 2012

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