Individual
NICOLE M. WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 PZEGEO CIR, PEABODY, MA 01960-4560
(781) 771-8199
Mailing address
2 PZEGEO CIR, PEABODY, MA 01960-4560
(781) 771-8199
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2307229
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2307229
PSYCHIATRIC
MA
Enumeration date
11/18/2020
Last updated
11/18/2020
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