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Individual

NICOLE GESAMONDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
173 OXFORD ST, LYNN, MA 01901-1117
(781) 268-2200
Mailing address
173 OXFORD ST, LYNN, MA 01901-1117

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2298746
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2298746
MA

Other

Enumeration date
01/18/2017
Last updated
08/23/2021
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