Individual
NICOLE GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1800 MAIN RD, TIVERTON, RI 02878-4625
(401) 625-5552
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN03869
RI
363L00000X
Nurse Practitioner
RN2334702
MA
Other
Enumeration date
10/04/2023
Last updated
09/06/2024
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