Nicole Tryfus, is a
Licensed Practical Nurse based in Johns Creek, Georgia. Nicole Tryfus is licensed to practice in Georgia (license number LPN102782) and current practice location is
4265 Johns Creek Pkwy Ste B, Johns Creek, Georgia. can be reached at office (for appointments etc.) via phone at
(770) 462-0910.
NPI number for Nicole Tryfus is 1689526402 and current mailing address is 5345 Glenn Ivey Dr, Cumming, Georgia.
does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1689526402.
Provider's Profile
| Full Name | Nicole Tryfus |
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| Gender | |
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| Speciality | Licensed Practical Nurse |
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| Location | 4265 Johns Creek Pkwy Ste B, Johns Creek, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689526402
- Provider Enumeration Date: 02/12/2026
- Last Update Date: 02/12/2026
Medical Identifiers
Medical identifiers for Nicole Tryfus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689526402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 332562 (New York) | Secondary |
| 164W00000X | Licensed Practical Nurse | LPN102782 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Tryfus is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Nicole Tryfus, 5345 Glenn Ivey Dr, Cumming, GA 30028-3359 Ph: () - | Nicole Tryfus, 4265 Johns Creek Pkwy Ste B, Johns Creek, GA 30024-6038 Ph: (770) 462-0910 |
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