Individual
NICOLE FASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
23 KEEWAYDIN DR, SALEM, NH 03079-2857
(603) 703-1358
Mailing address
1 BALDWIN CT, MERRIMACK, NH 03054-3716
(603) 703-1358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
058107-21
NH
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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