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Individual
NICOLE K BORAMANAND
Active
Individual
NICOLE K BORAMANAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11719
CA
363LP0200X
Pediatric Nurse Practitioner
002184
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004244183
—
CT
Enumeration date
11/29/2005
Last updated
04/24/2023
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