Individual
NICOLE BURKE TINGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
250 PLEASANT ST STE 6073, CONCORD, NH 03301-2598
(603) 227-7000
(603) 227-7588
Mailing address
250 PLEASANT ST STE 6073, CONCORD, NH 03301-2598
(603) 227-7000
(603) 227-7588
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1553
NH
363AS0400X
Surgical Physician Assistant
PA6985
MA
Other
Enumeration date
10/25/2018
Last updated
09/28/2021
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