Individual
NICOLE COULON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 PLEASANT ST STE 6073, CONCORD, NH 03301-2598
(603) 227-7000
(603) 227-7588
Mailing address
250 PLEASANT ST STE 6073, CONCORD, NH 03301-2598
(603) 227-7000
(603) 227-7588
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1839
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2021
Last updated
04/01/2022
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