Individual
DEBORAH ANN NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 N BEACON ST, BOSTON, MA 02134
(617) 726-9700
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-3884
(617) 643-7941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
115193
MA
363LG0600X
Gerontology Nurse Practitioner
115193
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0370410
—
MA
01
—
N340
HARVARD PILGRIM
MA
01
—
NP1167
BLUE CROSS
MA
Enumeration date
03/28/2006
Last updated
05/17/2018
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