Individual
MS. NICOLE REBECCA VONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-9765
(508) 334-1095
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN2317211
MA
363L00000X
Nurse Practitioner
RN2317211
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2317211
MA
Other
Enumeration date
10/30/2020
Last updated
10/09/2023
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