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Individual

NICOLE HARTNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
792 MAIN ST, CLINTON, MA 01510-1608
(978) 368-7631
Mailing address
792 MAIN ST, CLINTON, MA 01510-1608

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2301432
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2301432
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MCS003152B
MCSR
MA
01
RN2301432
CERTIFIED NURSE PRACTITIONER
MA
Enumeration date
08/31/2020
Last updated
10/26/2021
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