Mrs. Nicole Marie Demaria
Nurse Practitioner Nurse Practitioner - Pediatrics Nurse Practitioner - Neonatal (Critical Care)
119 Belmont St
Worcester
, Massachusetts 01605-2903
Mrs. Nicole Marie Demaria
Nurse Practitioner Nurse Practitioner - Pediatrics Nurse Practitioner - Neonatal (Critical Care)
119 Belmont St
Worcester
, Massachusetts 01605-2903
(508) 334-1977
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Neonatal (Critical Care)
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Nicole Marie Demaria
- Po Box 415348
- Boston, MA
- Zip : 02241-5348
- Fax : (508) 334-1977
- Phone : (800) 225-8885
Second Address
- Mrs. Nicole Marie Demaria
- 119 Belmont St
- Worcester, MA
- Zip : 01605-2903
- Fax : (508) 334-6083
- Phone : (508) 334-6206
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN2260353 | MA |
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | RN2260353 | MA |
| N | 363LP0200X | Nurse Practitioner - Pediatrics | RN2260353 | MA |
National Provider Identifier
| NPI | 1104242148 |
|---|---|
| Provider Name | Mrs. Nicole Marie Demaria |
| First Address | Boston, MA 02241-5348 |
| Second Address | Worcester, MA 01605-2903 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2014 |
| Last Update Date | 27/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110131690A | (05) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.