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Search › Massachusetts › 390200000X

Nicole Wynne

NPI 1164967105 · on the registry since 2016

Practice

Address
120 Murray St
Medford, MA 02155
Phone
(781) 391-0800
Organisation at this address
120 Murray Opco Llc
Cpl (Glen Ridge) Llc
120 Murray Street Operations Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts