Individual
MS. NICOLE MARIE CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
82 RT 6A UNIT 1, ORLEANS, MA 02653-2464
(508) 813-9282
Mailing address
82 RT 6A UNIT 1, ORLEANS, MA 02653-2464
(508) 813-9282
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
927341
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000860901
MEDICARE
MA
01
—
042297845
PHCS/MULTI-PLAN
—
01
—
1073702734
FALLON COMMUNITY HEALTH PLAN
—
01
—
SS0062
BCBSMA
MA
Enumeration date
10/18/2007
Last updated
10/19/2021
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