Individual
NICOLE LARA OFSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 COMMONWEALTH AVE, CHESTNUT HILL, MA 02467-3800
(617) 552-2756
Mailing address
3320 QUECHEE WEST HARTFORD RD, WHITE RIVER JUNCTION, VT 05001-9557
(603) 667-5245
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
071611-21
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
071611-23
NH
Other
Enumeration date
03/30/2022
Last updated
12/29/2025
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