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Individual
NICHOLE LEE TAGLIAVENTO
Active
Individual
NICHOLE LEE TAGLIAVENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
093301-23
NH
363LA2200X
Adult Health Nurse Practitioner
093301-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
093301-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2309030
MA
Other
Enumeration date
06/08/2023
Last updated
05/17/2024
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