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

Nicole Ray Tychostup, RN

Individual provider Case Management Registered Nurse · NPI 1013776137

Nicole Ray Tychostup, RN is a Case Management Registered Nurse in Waterford, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

107 4th St
Waterford, NY 12188-2025
Phone: (228) 297-6071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Perinatal Registered Nurse (primary) Taxonomy 163WP1700X · Licence 700535 (NY)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence 700535 (NY)

Record details

NPI number1013776137
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024