Individual
CIARRA LOUISE NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-1000
Mailing address
328 SHREWSBURY ST STE 100, WORCESTER, MA 01604-5465
(508) 755-4861
(508) 752-1392
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1020071
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
08/07/2024
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