Individual
NICKISHA ANN-MARIE HURLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1153 CENTRE ST, BOSTON, MA 02130-3446
(617) 983-7179
Mailing address
1153 CENTRE ST, BOSTON, MA 02130-3446
(617) 983-7179
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN283312
MA
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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