Lesanto, Nicole Alyce

Lesanto, Nicole Alyce is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Lesanto, Nicole Alyce can be contacted via phone (617) 355-4291.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Phone: (617) 355-4291
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X NP95000968 California
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NPP37735 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NPP95000968 California
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN2264257 Massachusetts

Profile Details

NPI number 1306185046
LBN Legal business name Lesanto, Nicole Alyce
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2013
Last updated Jul 18th, 2017 - about 8 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.

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