Demaria, Nicole Marie
Demaria, Nicole Marie is an individual health care provider with primary practice located at 119 Belmont St , Worcester MA 01605-2903. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Demaria, Nicole Marie can be contacted via phone (508) 334-6206.Contact Information
Primary practice address
119 Belmont St
Worcester MA 01605-2903
Phone: (508) 334-6206
Fax: (508) 334-6083
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN2260353 | Massachusetts |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN2260353 | Massachusetts |
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | RN2260353 | Massachusetts |
Profile Details
NPI number | 1104242148 |
---|---|
LBN Legal business name | Demaria, Nicole Marie |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 14th, 2014 |
Last updated | Oct 27th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104242148 | NPPES |
Massachusetts | MEDICAID | 110131690A |
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