Ms. Nicole Speckhard, PA-C
Physician Assistant, Medical in Shirley, Massachusetts
1356644488- Practice location
- 73 Front St, Shirley, MA 01464-2575
- Phone
- 978-906-0060
- Fax
- 978-906-0012
- Last updated
- January 4, 2024
Nicole Speckhard is a Physician Assistant, Medical based in Shirley, MA. Nicole Speckhard practices in Shirley, MA and has the professional credentials of PA-C. The NPI Number for Nicole Speckhard is 1356644488 and holds a License No. PA4067 (MA). The current practice location address for Nicole Speckhard is 73 Front St, Shirley, MA 01464-2575 and can be reached out via phone at 978-906-0060 and via fax at 978-906-0012.
Provider Profile Details
- NPI Number
- 1356644488
- Provider Name
- Nicole Speckhard
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 73 Front St, Shirley, MA 01464-2575
- Phone Number
- 978-906-0060
- Fax Number
- 978-906-0012
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Other Names
- -- Nicole Vercontaire, PA-C (Former Name)
- Provider Enumeration Date
- December 12, 2010
- Last Update Date
- January 4, 2024
- Certification Date
- January 4, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 73 Front St
Shirley, MA 01464-2575 - City
- Shirley
- State
- Massachusetts
- Zip
- 01464-2575
- Phone Number
- 978-906-0060
- Fax Number
- 978-906-0012
Provider Business Mailing Address Details
- Address
- 40 Georgetown Dr
Nashua, NH 03062-4214 - City
- Nashua
- State
- NH
- Zip
- 03062-4214
- Phone Number
- 972-658-3554
License Information
- License Number
- PA4067
- License State
- MA
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · 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 Ms. Nicole Speckhard, PA-C?
The NPI number of Ms. Nicole Speckhard, PA-C is 1356644488. It was assigned on December 12, 2010 and is currently active in the NPPES registry.
What is the specialty of Ms. Nicole Speckhard, PA-C?
Ms. Nicole Speckhard, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number PA4067.
Where does Ms. Nicole Speckhard, PA-C practice?
The practice location is 73 Front St, Shirley, MA 01464-2575. The office can be reached at 978-906-0060 (phone) or 978-906-0012 (fax).
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 1356644488 directly on the NPPES registry website.