Individual
MS. MARY LOUISE B. NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
55 FRUIT ST, JACKSON GREY 121, BOSTON, MA 02114-2621
(617) 726-8241
(617) 726-4489
Mailing address
176 PRESIDENTS LN, 302, QUINCY, MA 02169-1968
(617) 471-8898
(617) 726-4489
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
103021
MA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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