| NPI | 1538797527 |
|---|---|
| Former Name | NICOLE ANN CHADBOUME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN04216) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA RN2267506) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2267506) | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-10-30 |