Individual
NICOLE I PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
145 CROSS ST # 2, LOWELL, MA 01854-4139
(978) 876-9604
Mailing address
145 CROSS ST, LOWELL, MA 01854-4139
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2356396
MA
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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