Individual
NICOLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 BAY CLIFF CIR, PLYMOUTH, MA 02360-1458
(617) 291-3702
Mailing address
10 BAY CLIFF CIR, PLYMOUTH, MA 02360-1458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2291507
MA
390200000X
Student in an Organized Health Care Education/Training Program
671865-1
NY
Other
Enumeration date
07/08/2014
Last updated
08/15/2020
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