Individual
NICOLE CORINNA PACE
Active
Individual
NICOLE CORINNA PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
12887
NH
207NP0225X
Pediatric Dermatology Physician
12887
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012717
—
VT
05
—
30206079
—
NH
Enumeration date
07/08/2006
Last updated
12/06/2012
Update your record
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