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Individual

MS. KARI CRETELLA NICKOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN,CS

Contact information

Practice address
21 PLEASANT ST, NEWBURYPORT, MA 01950-2619
(508) 843-1801
Mailing address
25 BOSTON RD, NEWBURY, MA 01951-1602

Taxonomy

Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN169922
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110110173A
MA
Enumeration date
06/03/2006
Last updated
10/23/2017
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