Individual
NICOLE ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11 MOUNT AUBURN ST, WATERTOWN, MA 02472-3981
(844) 377-4199
Mailing address
900 WARREN AVE STE 200, EAST PROVIDENCE, RI 02914-1430
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
11/08/2023
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