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Individual
MRS. NICOLE CARVILLE-AUTRY
Active
Individual
MRS. NICOLE CARVILLE-AUTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2007005182-21
MA
363LA2200X
Adult Health Nurse Practitioner
255984RN
MA
363LG0600X
Gerontology Nurse Practitioner
2007006045-23
MA
Other
Enumeration date
11/26/2007
Last updated
04/15/2020
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