Individual
NICOLE BLATHRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
RN
Contact information
Practice address
401 N BEDFORD ST, EAST BRIDGEWATER, MA 02333-1147
(781) 375-3150
Mailing address
23 MILBERY LN, PEMBROKE, MA 02359-1700
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN2353934
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2353934
MA
Other
Enumeration date
03/01/2025
Last updated
02/04/2026
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