Nicole Duane, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Maynard, MA
NPI 1265420186 · NPPES record last updated Aug 6, 2021
Key facts
- NPI
- 1265420186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 193980 (MA)
- Practice address
- 84 Summer St
Maynard, MA 01754-2226 - Phone
- (978) 793-3498
- NPI assigned
- Oct 13, 2005
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 193980 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 193980 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 193980 | MA | Yes |
Addresses
Primary practice location
84 Summer St
Maynard, MA 01754-2226
Mailing address
84 Summer St
Maynard, MA 01754-2226
Phone (978) 793-3498
Other names
- Nicole Phillips
Other providers in Maynard, MA
- Compassionate Care Internal Medicine,LLC
- Compassionate Care Physicians LLC
- CVS Pharmacy Inc
- Stephanie Delgado Hernandez
- David L Dowd
- Ashlie Schoenhardt Duplichen
- Ann Marie Edson
- Eileen Geralyn Cejka
- Emma R Epstein
- Extra Steps Pediatric Therapies, Inc.
All providers in Maynard, MA · Psychiatric/Mental Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.