Individual
NI'COLE WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1665 HARTFORD AVE UNIT BOX 4, JOHNSTON, RI 02919-3200
(401) 237-0131
Mailing address
1665 HARTFORD AVE STE 4, JOHNSTON, RI 02919-3268
(401) 237-0131
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
225700000X
Massage Therapist
02374
RI
374J00000X
Doula
202062
RI
Other
Enumeration date
10/26/2017
Last updated
01/26/2026
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