Individual
NICOLE ANN BAZARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92 MONTVALE AVE, STONEHAM, MA 02180-3647
(781) 451-0072
Mailing address
13 GREENMEADOW DR, N BILLERICA, MA 01862-1921
(781) 439-0389
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN2327337
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2327337
MA
Other
Enumeration date
11/15/2022
Last updated
05/30/2024
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