Scouras, Nicole Lyn

Scouras, Nicole Lyn is an sole proprietor health care provider with primary practice located at 85 High St , Medford MA 02155-3825. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Scouras, Nicole Lyn can be contacted via phone (781) 396-4770.

Contact Information

Primary practice address
85 High St Medford MA 02155-3825
Phone: (781) 396-4770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 806756 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21340 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2264342 Massachusetts

Profile Details

NPI number 1275817652
LBN Legal business name Scouras, Nicole Lyn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2011
Last updated Apr 15th, 2021 - about 4 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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