Individual
NICOLE F BAISDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHCNS-BC
Contact information
Practice address
173 OXFORD ST, LYNN, MA 01901-1117
(781) 268-2200
(781) 268-0465
Mailing address
173 OXFORD ST, LYNN, MA 01901-1117
(781) 268-2200
(781) 268-0465
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
195978
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891723
—
MA
Enumeration date
07/19/2006
Last updated
07/22/2015
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