Individual
NICOLE DUANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
84 SUMMER ST, MAYNARD, MA 01754-2226
(978) 793-3498
Mailing address
84 SUMMER ST, MAYNARD, MA 01754-2226
(978) 793-3498
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
193980
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
193980
MA
Other
Enumeration date
10/13/2005
Last updated
08/06/2021
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