# NICHOLE LEE TAGLIAVENTO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1336833672
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | 093301-23 | NH | — |
| 363LA2200X | Adult Health Nurse Practitioner | 093301-23 | NH | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 093301-23 | NH | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN2309030 | MA | — |

## Other

- **Enumeration date:** 06/08/2023
- **Last updated:** 05/17/2024