Individual
MRS. EMILY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
101 PARKER ST, LAWRENCE, MA 01843-1533
(978) 683-0787
Mailing address
17 OSBORNE HILL DR, SALEM, MA 01970-1022
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2284383
MA
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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