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Nicole Wynne
Student in an Organized Health Care Education/Training Program in Medford, Massachusetts
NPI 1164967105

Nicole Wynne is a Student in an Organized Health Care Education/Training Program based in Hanson, MA. Nicole Wynne practices in Medford, MA. The NPI Number for Nicole Wynne is 1164967105 and holds a License No. (Massachusetts).

The current practice location address for Nicole Wynne is 120 Murray St, Medford, MA and can be reached out via phone at 781-391-0800.

Location: 120 Murray St, Medford, MA, 02341-1011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164967105
Provider Name
Nicole Wynne
Credential
Provider Entity Type
Individual
Gender
Female
Address
120 Murray St, Medford, MA, 02341-1011
Phone Number
781-391-0800
Fax Number
Provider Enumeration Date
12/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
390200000X 05 MA
institution
Provider Business Practice Location Address Details
Address
120 Murray St
City
Medford
State
Massachusetts
Zip
02155-1300
Phone Number
781-391-0800
Fax Number
person
Provider Business Mailing Address Details
Address
120 Murray St
City
Medford
State
Massachusetts
Zip
02155-1300
Phone Number
781-391-0800
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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