Individual
NICOLE K PEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2275307
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2275307
MASSACHUSETTS STATE ADVANCED PRACTICE NURSING LICENSE
MA
Enumeration date
07/03/2013
Last updated
05/13/2021
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