Individual
NICHELLE GABRIELLE LLEWELLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 FRANCIS ST FL STREET3, BOSTON, MA 02115-6110
(617) 732-4740
Mailing address
75 FRANCIS ST FL STREET3, BOSTON, MA 02115-6110
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA062375
PA
363AM0700X
Medical Physician Assistant
Primary
PA9402
MA
Other
Enumeration date
03/03/2021
Last updated
07/17/2023
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