Individual
NANCY MARIE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3000
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN 181137
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN181137
MA
363LF0000X
Family Nurse Practitioner
RN181137
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110094625A
—
MA
05
—
3154009
—
NH
01
—
RN181137
LICENSE
MA
Enumeration date
09/09/2011
Last updated
04/30/2026
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