Individual
NICOLE ANIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
725 CONCORD AVE STE 1200, CAMBRIDGE, MA 02138-1055
(617) 503-1000
(617) 547-0184
Mailing address
725 CONCORD AVE STE 1200, CAMBRIDGE, MA 02138-1055
(617) 503-1000
(617) 547-0184
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
382294
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
2311801
MA
Other
Enumeration date
09/18/2012
Last updated
02/09/2022
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