Individual
NANCY M NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
208 GRAHAM ST, BIDDEFORD, ME 04005-3853
(207) 602-3571
(207) 602-3573
Mailing address
PO BOX 284, BRATTLEBORO, VT 05302-0284
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
CNP81608
ME
363LG0600X
Gerontology Nurse Practitioner
RN25597
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276700099
—
ME
05
—
30344302
—
NH
Enumeration date
12/20/2005
Last updated
07/08/2025
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