Individual
PROF. PATRICE NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 SHIPWAY PL, CHARLESTOWN, MA 02129-4301
(617) 230-7808
Mailing address
36 1ST AVE, CHARLESTOWN, MA 02129-4557
(617) 230-7808
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
136936
MA
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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