SearchMassachusetts171100000X

Samantha Mitchell-Macnicoll, LIC. AC

NPI 1639313075 · on the registry since 2009

Practice

Address
170 Commercial St
Suite 164
Provincetown, MA 02657
Phone
(508) 487-8786

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-04-29

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