Nicole I Love
Physician Assistant in Revere, Massachusetts
1144866427- Practice location
- 454 Broadway, Revere, MA 02151-3034
- Phone
- 781-485-8222
- Fax
- —
- Last updated
- January 13, 2022
Nicole Isabel Love is a Physician Assistant based in Revere, MA. Nicole Isabel Love practices in Revere, MA. The NPI Number for Nicole Isabel Love is 1144866427 and holds a License No. PA7824 (MA). The current practice location address for Nicole Isabel Love is 454 Broadway, Revere, MA 02151-3034 and can be reached out via phone at 781-485-8222.
Provider Profile Details
- NPI Number
- 1144866427
- Provider Name
- Nicole Isabel Love
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 454 Broadway, Revere, MA 02151-3034
- Phone Number
- 781-485-8222
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 21, 2019
- Last Update Date
- January 13, 2022
- Certification Date
- January 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 454 Broadway
Revere, MA 02151-3034 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-3034
- Phone Number
- 781-485-8222
Provider Business Mailing Address Details
- Address
- 454 Broadway
Revere, MA 02151-3034 - City
- Revere
- State
- MA
- Zip
- 02151-3034
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- PA7824
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Nicole I Love?
The NPI number of Nicole I Love is 1144866427. It was assigned on November 21, 2019 and is currently active in the NPPES registry.
What is the specialty of Nicole I Love?
Nicole I Love is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA7824.
Where does Nicole I Love practice?
The practice location is 454 Broadway, Revere, MA 02151-3034. The office can be reached at 781-485-8222 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144866427 directly on the NPPES registry website.