Individual
MRS. NICOLE MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-5997
Mailing address
5 GLENWOOD AVE, WOBURN, MA 01801-5846
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2290516
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2290516
MA
Other
Enumeration date
02/01/2017
Last updated
03/17/2018
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