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Individual

NICOLE PERKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
311 NEWBURY ST, DANVERS, MA 01923-1027
(978) 777-5504
Mailing address
LAHEY PROVIDER ENROLLMENT DEPARTMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8085

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2259884
MA
363LF0000X
Family Nurse Practitioner
2259884
MA

Other

Enumeration date
11/10/2020
Last updated
09/30/2021
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