Individual
NICHOLAS BEATRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 BRADFIELD AVE # 2, ROSLINDALE, MA 02131-1934
(508) 801-6456
Mailing address
66 BRADFIELD AVE # 2, ROSLINDALE, MA 02131-1934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F12190968
MA
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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