Individual
NICOLE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 WELLSMERE RD, ROSLINDALE, MA 02131-4123
(617) 416-8111
Mailing address
103 WELLSMERE RD, ROSLINDALE, MA 02131-4123
(617) 416-8111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2273610
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
136454
MA
Other
Enumeration date
06/11/2019
Last updated
07/30/2021
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