Active NPIIndividual provider

Nicole Wynne

Student in an Organized Health Care Education/Training Program in Medford, Massachusetts

NPI Number1164967105
Practice location
120 Murray St, Medford, MA 02155-1300
Fax
—
Last updated
December 29, 2016

Nicole Wynne is a Student in an Organized Health Care Education/Training Program based in Medford, MA. Nicole Wynne practices in Medford, MA. The NPI Number for Nicole Wynne is 1164967105. The current practice location address for Nicole Wynne is 120 Murray St, Medford, MA 02155-1300 and can be reached out via phone at 781-391-0800.

Provider Profile Details

NPI Number
1164967105
Provider Name
Nicole Wynne
Provider Entity Type
Individual
Gender
Female
Address
120 Murray St, Medford, MA 02155-1300
Phone Number
781-391-0800
Sole Proprietor
No
Provider Enumeration Date
December 29, 2016
Last Update Date
December 29, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Murray St
Medford, MA 02155-1300
Zip
02155-1300
Phone Number
781-391-0800
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
92 Litchfield Ln
Hanson, MA 02341-1011
City
Hanson
State
MA
Zip
02341-1011
Phone Number
781-724-2201

License Information

License State
MA

Legacy Identifiers

IdentifierTypeStateIssuer
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 Wynne?

The NPI number of Nicole Wynne is 1164967105. It was assigned on December 29, 2016 and is currently active in the NPPES registry.

What is the specialty of Nicole Wynne?

Nicole Wynne is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Nicole Wynne practice?

The practice location is 120 Murray St, Medford, MA 02155-1300. The office can be reached at 781-391-0800 (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 1164967105 directly on the NPPES registry website.

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