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

Nicole Lynette Fenton

Individual provider Case Manager/Care Coordinator · NPI 1164900346

Nicole Lynette Fenton is a Case Manager/Care Coordinator in Staten Island, New York. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

135 Corson Ave
Staten Island, NY 10301-2933
Phone: (718) 450-4727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1164900346
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 31, 2018
Last updated in NPPESJuly 31, 2018

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