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Individual

NICHOLAS CHARLES ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(860) 878-4843
Mailing address
812 N LAKEVIEW DR, ORANGE, CT 06477-1421
(860) 878-4843

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
102928
CT
363L00000X
Nurse Practitioner
Primary
12597
CT
363LF0000X
Family Nurse Practitioner
12597
CT

Other

Enumeration date
08/22/2023
Last updated
05/07/2025
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